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我科见到一例桥脑出血出血量13毫升,存活4天多,现报告如下: 曲某,女,48岁,住院号251883,患者于87年8月14日凌晨3时离床喝水时。突然头痛,左面部及左侧肢体麻木,约10分钟后意识不清。2小时后送来我院,检查中出现频繁呕吐,吐物呈咖啡色,呼吸节律不规则,呈抽泣样,伴尿失禁。急检头部CT时,因病人头部随呼吸运动,导致CT片伪影过多,使之无法辨认脑干异常改变。以椎一基底动脉闭塞,桥脑梗塞收入院。既往有高血压病史十余年。查体:体温40.7℃、脉搏150次/分、呼吸18次/分、血压210/110mmHg,体质肥胖,深昏迷,压眶无反应,在侧额纹消失,左侧亦浅,双侧鼻唇沟浅,右眼闭合差,眼
Our department saw a case of pontine hemorrhage amount of 13 ml, more than 4 days survival, are as follows: Qu Mou, female, 48 years old, hospital number 251,883, patients at bedtime at 3:00 on August 14, 87 . Sudden headache, numbness of the left and left limbs, about 10 minutes unconscious. 2 hours later sent to our hospital, check the frequent vomiting, spit things were brown, irregular respiratory rhythms, was sobbed, with incontinence. Emergency head CT, the patient’s head with respiratory motion, leading to excessive CT artifacts, so that it can not identify abnormal changes in the brainstem. To vertebral basilar artery occlusion, pontine infarction income hospital. Past history of hypertension more than ten years. Physical examination: Body temperature 40.7 ℃, pulse 150 beats / min, breathing 18 beats / min, blood pressure 210 / 110mmHg, physical obesity, deep coma, pressure orbital no response, disappear in the forehead pattern, the left is shallow, bilateral nasolabial Ditch shallow, right eye closed poor eyes