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例1,女,58岁.因头痛、呕吐伴左侧肢体活动障碍3天,嗜睡1天于1987年5月23日入院.既往高血压5年,无肾脏病史.查体:Bp28.0/13.3kPa,P86次/分,神志模糊,嗜睡,眼睑无浮肿,瞳孔等大等圆,颈软,左侧肢体活动受限,上下肢肌力○～Ⅰ级,病理反射(一).Hb122g/L,WCB 15.2×10~9/L,N72%,肝肾功能均正常,脑脊液压力4903.5Pa外观呈均匀血性,镜检RBC满视野.入院初诊:高血压性脑出血.给予20%甘露醇250ml4h加压静脉点滴,补液维持水、电解质平衡,及一般对症治疗,第三天始患者一般情况可、血压稳定但出现少尿、无尿,急查尿常规:比重1.014,蛋白
Case 1, female, aged 58. Vomiting due to headache, vomiting with left limb movement disorders for 3 days, lethargy 1 day admitted to hospital on May 23, 1987. Previous hypertension for 5 years, no history of renal disease. Examination: Bp28.0 / 13.3kPa, P86 beats / min, confusion, lethargy, eyelid edema, pupils and other large round, soft neck, left limb movement limitation, upper and lower limb muscle strength ○ ~ Ⅰ grade, pathological reflex (a) .Hb122g / L, WCB15.2 × 10 ~ 9 / L, N72%, liver and kidney function were normal, the cerebrospinal fluid pressure 4903.5Pa appearance was homogeneous bloody, microscopy RBC full field of vision .Admission: hypertensive intracerebral hemorrhage given 20% mannitol 250ml4h Pressure venous drip, rehydration to maintain water, electrolyte balance, and general symptomatic treatment, the first three days the general condition of the patient can be, stable blood pressure but there oliguria, anuria, urgency check urine routine: the proportion of 1.014, protein