案例某女,32岁。既往身体健康。某日晚因纠纷与人发生扭打,被对方揪住头发往地下猛按,其右眼撞在木藤椅扶手上,当即昏迷,呕吐一次,急送医院抢救。查体:脉博90次/min,呼吸24次/min,血压17/12Kpa;昏迷,克、布巴氏征未引出,四肢肌力、肋张力对称;右侧眼眶及颌面肿胀、青紫;右眼瞳孔直径5mm,光反射迟钝。左眼瞳孔直径3mm,光反射灵敏,格拉斯昏 Case female, 32 years old. In the past, good health. One night due to disputes and people have a fight, was grabbed hair to the other side of the ground violently pressed, the right eye hit the rattan armchair, immediately coma, vomit once, rush to the hospital for treatment. Examination: pulse Bo 90 times / min, breathing 24 times / min, blood pressure 17 / 12Kpa; coma, grams, Bupa’s levy did not lead to limb muscle strength, rib tension symmetry; right orbital and maxillofacial swelling, bruising; Right pupil diameter 5mm, light reflex slow. Left pupil diameter 3mm, sensitive light reflex, Glass fainting