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1 临床资料 患者,男,31岁,歼击机一级飞行员,下午5时体育活动时头枕部撞地。当时眼前模糊,短暂意识丧失。约半小时后头部剧烈胀痛,尤以左前额部重,伴恶心,未呕吐。即静脉快速输入甘露醇,送入医院,2h后进行颅脑CT检查,示左额骨内板下方见一团片状密度增高影,CT值为85Hu,边界尚清楚,大小为2.1cm×4cm×2cm,脑室,池稍偏小,中线无偏移,颅骨未见骨折。查体:生命指征平稳,意识清醒,回答切题,左侧瞳孔略
1 clinical data of patients, male, 31 years old, a pilot fighter plane, 5 pm sports activities when the head and pillow hit the ground. At that time blurred, short-term loss of consciousness. About half an hour after the head severe pain, especially in the left forehead weight, with nausea, vomiting. The rapid intravenous infusion of mannitol, into the hospital, 2h after brain CT examination showed that the bottom of the left frontal bone plate see a group of sheet density increased shadow CT value of 85Hu, the border is still clear, the size of 2.1cm × 4cm × 2cm, intraventricular, pool slightly smaller, midline without offset, no fracture of the skull. Physical examination: life indications smooth, conscious, answer questions, the left pupil slightly