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患者 女性,55岁。因头痛呕吐伴左侧肢体无力三天入院。入院前三天无明显诱因感头胀痛,入院前两天出现呕胃内容物,不能对答伴小便失禁,左侧肢体无力,以高血压性脑出血(外侧型),缺血性脑血管病待排入院。既往有高血压史20年,平素 BP170/100mmHg,间断服用降压药。否认多饮多食多尿史,查体:T38℃ P110次 R20次 BP180/108mmHg,内科情况未见异常。NS检查:神清欠合作,反应迟钝,构音不良,眼底检查不配合,眼球各向运动正常,左鼻唇沟浅,伸舌偏左,左上下肢肌张力偏低,肌力Ⅲ-级,左侧腱反射活跃,左病理征(+),感觉系正常,颈硬(±)。入院当日腰穿:CSF压力200mmH_2O,无色透明,潘氏(+),细胞数667个,WBC19个,氯
Patient female, 55 years old. Headache and vomiting with left limb weakness three days admitted. Three days before admission, there was no obvious incentive to feel the headache and pain. The content of the vomit appeared two days before admission. The patient should not have contraindication to urinary incontinence and left limb weakness. Hypertensive intracerebral hemorrhage (lateral type), ischemic cerebrovascular disease To be discharged into the hospital. Past history of hypertension for 20 years, usually BP170 / 100mmHg, taking antihypertensive drugs intermittently. Denied drinking more history of polyuria, physical examination: T38 ℃ P110 times R20 times BP180 / 108mmHg, internal medicine was normal. NS examination: God owes cooperation, unresponsive, dysarthria, retinal examination does not match, the eye movement is normal, the left nasolabial fold shallow, left side of the tongue, left lower extremity muscle tension is low, muscle strength III-level, Left tendon reflex activity, left pathological signs (+), normal sensory, hard neck (±). Waist on admission day: CSF pressure 200mmH_2O, colorless and transparent, PAN (+), the number of cells 667, WBC19, chlorine