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患者,男,25岁,因突发头痛伴呕吐5 h余,于2015年10月7日入院。患者同学代诉患者于5 h前无明显诱因出现头痛,呈爆炸样,感恶心,呕吐中等量胃内容物数次,无流涎及四肢抽搐,遂至我院急诊科就诊,拟脑出血收住院。发病以来精神欠佳,未进食,大小便正常,体重无明显变化。既往体健,无吸烟、饮酒史等不良嗜好。入院后体格检查:神志清楚,GCS计15分(E4V5M6),颅神经检查未见明显异常;左下肢肌力Ⅴ-级,右侧肢体及左上肢肌力正常Ⅴ级;双侧痛觉对称存在,双侧震动觉、位置觉存在,双侧实体
The patient, male, 25 years old, was admitted to hospital on October 7, 2015 due to sudden headache associated with vomiting for more than 5 hours. Patient classmates complained of patients 5h before there was no obvious incentive to headache, was exploded, nausea, vomiting moderate amount of stomach contents several times, no salivation and limbs convulsions, then to our hospital emergency department treatment, to be admitted to the hospital cerebral hemorrhage . Since the onset of poor health, no eating, normal urine, no significant change in body weight. Past physical health, no smoking, drinking history and other bad habits. Physical examination after admission: Consciousness, 15 points GCS (E4V5M6), cranial nerve examination showed no significant abnormalities; left lower extremity muscle strength â ...-grade, right limb and left upper limb muscle strength grade â ... ¡; bilateral pain symmetry exists, Bilateral vibration perception, the presence of perception, bilateral entities