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1案例资料1.1简要临床经过某男,46岁。2015年6月24日约14时,在家诉胸痛,随即出现神志不清,摔倒在地,大汗淋漓,于当日16时送医院,体检:体温36℃、脉搏64次/min、血压198/71mmHg,神志不清,双瞳孔0.25cm,对光稍迟钝,呼吸促,两肺未闻及明显干、湿罗音。初步诊断:神志不清待查:主动脉夹层?以“腹痛半天”急转上级医院。查体:血压74/40mmHg,神志淡漠,嗜睡,
1 case data 1.1 brief clinical after a man, 46 years old. About 14 o’clock on June 24, 2015, at home, chest pain, then appeared unconscious, fell to the ground, sweating, on the day at 16:00 to the hospital, physical examination: body temperature 36 ℃, pulse 64 times / min, blood pressure 198 / 71mmHg, confusion, double pupil 0.25cm, a little dull to light, shortness of breath, both lungs did not smell and obviously dry, wet rales. Initial diagnosis: unconscious to be checked: aortic dissection? To “abdominal pain for a long time ” rapid superior hospital. Physical examination: blood pressure 74 / 40mmHg, indifference, drowsiness,