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患者,男性,64岁。晨起活动后感眩晕,当晚呕吐咖啡色物,量约1000ml,在外院诊断为胃出血。次日来本院急诊,神经内科未发现异常,以“上消化道出血原因待查”收入院。住院后患者头位变换时眩晕加重,检查发现左睑裂小,左瞳孔2mm,右2.5mm,无眼球震颤。腰穿脑脊液无色,清亮,压力20.0kPa,细胞总数4×10~6/L,电脑超声示双颈总动脉、右颈内动脉多发粥样硬化斑块。住院第7天发
Patient, male, 64 years old. Dizzy sense of activity after morning activities, vomit brown coffee night, the amount of about 1000ml, diagnosed in the outer stomach bleeding. The next day our hospital emergency department, neurology found no abnormalities, “the cause of upper gastrointestinal bleeding to be investigated” income homes. Patients with head changes in patients with vertigo aggravated examination revealed a small left palpebral fissure, left pupil 2mm, right 2.5mm, no nystagmus. Lumbar puncture cerebrospinal fluid colorless, clear, pressure 20.0kPa, the total number of cells 4 × 10 ~ 6 / L, computer ultrasound showed common carotid artery, common carotid artery atherosclerotic plaque. On the seventh day of hospitalization