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病历摘要见本刊1981年第4期196页。会诊讨论(1月24日上午) 陈医生(内科):该患者入院时神志不清,详细病史不确切,但从其弟代述及体检中可归纳为如下几点:①中年男性;②13天前被人砸伤头部,当时短暂跌倒,无昏迷及大小便失禁;此后一直头昏、头痛;③神志模糊13小时;④噁心、腹痛、腹泻水样便3次;⑤体检:心率快、血压高、两侧瞳孔等圆极度缩小,对光反射存在,头部有外伤痕迹;⑥血白细胞及
Medical records summarized in this issue No. 4, 1981 196 pages. Consultation discussion (January 24 morning) Dr Chan (Internal Medicine): The patient admitted to the hospital unconscious, the detailed history is not exact, but from his brother’s description and physical examination can be summarized as follows: ① middle-aged men; ② 13 A few days ago was smashed his head, then a short fall, no coma and incontinence; has been dizzy, headache; ③ delirious for 13 hours; ④ nausea, abdominal pain, diarrhea, watery 3 times; , High blood pressure, pupils on both sides of the circle is extremely reduced, the presence of light reflex, head trauma; ⑥ white blood cells and