1案例某男，24岁，某年元月6日晚骑自行车时被机动车挂伤，倒地，当时昏迷20分钟，双鼻道，耳孔有明显活动性出血，先后呕吐胃内容物伴血性液三次，烦燥，诉视物重影．查体：神清，对答，双耳道，鼻孔有凝固性血迹．右下额稍肿，双下额不对称．双瞳孔等国，等大，对光反射存在? A case of a male, 24 years old, a year on January 6 when riding a bicycle on a bike was injured by the motor vehicle, fell to the ground, was unconscious for 20 minutes, dual nasal passages, ear had significant active bleeding, vomiting stomach contents with bloody Liquid three times, irritability, voodoo ghosting. Physical examination: God clear, right answers, ear canal, nostril blood coagulation. Right lower eyelid slightly swollen, double the amount of asymmetry. Double pupil and other countries, such as large, there is light reflection?