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病历摘要:男患,12岁。入院前2小时因剧烈运动而头痛、恶心、呕吐、抽搐,继而意识不清。既往有周期性头痛史。查体:体温37.8℃,呼吸14次/分,脉搏60次/分,血压80/69mmHg。呈昏迷状,呼吸浅而慢。双瞳孔3mm,对光反射存在。颈强明显,心音低钝,心律不齐,未闻及杂音。四肢肌张力增高,肌力Ⅲ级、生理反射消失。双测克氏征、布氏征、巴彬斯基氏征、欧姆汉氏征、戈尔登氏征均(+)。辅助检查:双侧眼底血管变细。心电图示:①安性心律不齐;②不完全性干扰性房空脱节;③结性逸搏;④结性逸搏性心律。心房率86～44次/分,心室率88～52次/分,
Medical history summary: Male suffering, 12 years old. 2 hours before admission due to intense exercise and headache, nausea, vomiting, convulsions, and then unconscious. Past history of cyclical headaches. Physical examination: body temperature 37.8 ℃, breathing 14 beats / min, pulse 60 beats / min, blood pressure 80 / 69mmHg. Was coma, shallow and slow breathing. Double pupil 3mm, there is light reflection. Neck strong, low heart sound blunted, arrhythmia, no smell and noise. Limb muscle tension increased, grade Ⅲ muscle, physiological reflex disappeared. Double test Kirschner Sign, Brinell sign, Babinski’s sign, Ohm Han’s sign, Gordon’s sign (+). Auxiliary examination: bilateral fundus thinning. ECG shows: ① safety of arrhythmia; ② incomplete disruption of sexual intercourse; ③ knot Yat stroke; ④ rhythm of escape rhythm. Atrial rate 86 to 44 beats / min, ventricular rate 88 to 52 beats / min,