例1男,14岁.因头痛、呕吐伴昏迷8小时于1997年4月10日入院.患儿在听课时突觉头痛,继之喷射性呕吐,随后倒地神志不清.平素体质好,家族中无类似病史.体检:神志不清,鼾声呼吸,口角有咖啡色液溢出.生长发育及营养良好,体温37.8℃,呼吸30次/分,脉搏72次/分,血压17/gkPa,面色苍白,皮肤粘膜(-).头皮无血肿,双瞳等大等圆,约2mm大小,光反射迟钝.颈有抵抗,两肺闻及痰鸣音,心(-),腹部(-),左侧肢体肌力Ⅳ级,右侧肌力0级,双侧巴氏征(+).血常规血红蛋白1009/L,红细胞3.46×10~(12)/L,白细胞13.4×10~9/L,中性0.89,淋巴0.11.入院头颅CT示脑干、左丘脑及双侧脑室内均见有较多出血,左丘脑血肿区周围轻度脑水肿,大脑密度增高,余脑实质无异常,中线结构无移位.诊断:自发性脑出血.给予吸氧、绝对卧床、脱水降颅压(用20%甘露醇80ml加地塞米松2.5mg静滴,每8小时1次,止血合剂内加西咪替丁静滴、抗感染等综合治疗.次日,呕吐止,但出现躁动不安.为了防止再出血,给予肌注鲁米那0.1/次,每隔8小时1次,至患儿趋于安静.第10天,神志渐清,诉右侧肢体疼痛,右下肢肌力Ⅱ级,右上肢肌力0级.当天放出血性脑脊液8ml,送检示鲜红色,潘氏(+++),细胞 152×10~6/L,糖及氯化物正常,逐渐延长脱水剂间隔时间.第16天,肢体疼痛缓解,记忆恢复,对答切题, Example 1 Male, 14 years old. Due to headache, vomiting with coma 8 hours admitted on April 10, 1997. Children with sudden headache in lectures, followed by jet vomiting, and then fell unconscious. No history of similar family medical examination: unconsciousness, snoring breathing, mouth overflow with brown liquid.Growth development and nutrition is good, temperature 37.8 ℃, breathing 30 beats / min, pulse 72 beats / min, blood pressure 17 / gkPa, pale , Skin mucosa (-). Scalp without hematoma, double pupil and other large round, about 2mm size, slow light reflex. Neck has resistance, both lungs and phlegm sounds, heart (-), abdomen Limb muscle strength grade Ⅳ, right side muscle strength grade 0, bilateral Pakistan’s sign (+), blood routine hemoglobin 1009 / L, erythrocyte 3.46 × 10-12 / L, white blood cells 13.4 × 10-9 / L, medium Sexual 0.89, lymphatic 0.11 admission head CT showed brainstem, left and right ventricle both have more bleeding, mild cerebral hematoma around the left ventricular hematoma area, increased brain density, no abnormal parenchymal brain, the median structure of no Shift. Diagnosis: spontaneous intracerebral hemorrhage. To give oxygen, absolute bed rest, dehydration reduced intracranial pressure (with 20% mannitol 80ml dexamethasone 2.5mg intravenous infusion, once every 8 hours, stop bleeding mixture of cimetidine Drop, anti Dyed, etc. The next day, vomiting only, but restlessness to prevent rebleeding, intramuscular injection of luminal 0.1 / time, once every 8 hours until the child tends to be quiet. The first 10 days, conscious Gradually clear, right limb pain, right lower extremity muscle strength Ⅱ, right upper limb muscle strength 0. The same day release of bloody cerebrospinal fluid 8ml, sent to show bright red, Pan (+++), cells 152 × 10 ~ 6 / L, sugar and chloride normal, and gradually extend the interval time of dehydrating agent.During the 16th day, limb pain relief, memory recovery,