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1病历摘要男,40岁。因反复蛛网膜下腔出血3个月,突发意识不清3h入院。患者3个月来3次无诱因出现蛛网膜下腔出血,在当地医院治疗好转,后行脑血管造影,未见血管异常及瘤体。3 h前,突然出现意识不清,右侧肢体活动不灵,伴恶心呕吐,小便失禁。查体BP 190/110 mm Hg,中度昏迷状态,左
1 medical record male, 40 years old. Due to repeated subarachnoid hemorrhage 3 months, sudden unconsciousness 3h admission. 3 patients in 3 months no incentive causes subarachnoid hemorrhage, improved in local hospitals, cerebral angiography, no vascular abnormalities and tumor. 3 h ago, suddenly appeared unconscious, right limb movement is not working, with nausea and vomiting, urinary incontinence. Physical examination BP 190/110 mm Hg, moderate coma, left