论文部分内容阅读
患者男,58岁,农民。因持续性头痛6天于1985年1月18日10点入院。患者于6天前因劳累出现头痛,以前额及后枕部为重,呈持续性剧痛,伴有轻度咳嗽、咳痰,无呕吐及发热,在当地卫生院按“上感”治疗无效,意识逐渐模糊,于1月16日急诊来院,诊为蛛网膜下腔出血住急诊观察室治疗。经用脱水药头痛减轻,2天后转入内科病房治疗。查体:T36.5℃,P80次,R20次,BP 120/80mmHg。急性痛苦病容,意识模糊,头部及五官正常,瞳孔等大等圆、光反应灵敏,颈部抵抗,两肺呼吸
Male patient, 58 years old, farmer. Six days due to persistent headache at January 18, 1985 admission at 10 o’clock. Patients with headache due to exertion 6 days ago, the forehead and occipital as the most important, persistent pain, accompanied by mild cough, sputum, no vomiting and fever in the local hospitals by the “sense of” treatment is invalid , Gradually blurred consciousness, on January 16 emergency room to hospital, diagnosed as subarachnoid hemorrhage emergency room observation treatment. Headache relief by dehydration medicine, 2 days into the medical ward treatment. Physical examination: T36.5 ℃, P80 times, R20 times, BP 120 / 80mmHg. Acute pain, sickness, confusion, normal head and facial features, pupils and other large round, photoreactive, neck resistance, both lungs breathing