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病历摘要:患者,女,74岁。因头痛伴呕吐12小时入院。查体:T36.7℃,P90次/分,R21次/分,BP22.6/12.0kPa。神志清,双瞳孔正常,颈抵抗,心肺腹无异常,皮肤痛、温觉正常,双侧肌力及肌张力正常,病理征未引出,布氏征、克氏征均阳性。脑脊液外观血性,红细胞~(++++),皱缩红细胞20％。BUN 4.8mmol/L,尿常规正常。诊为蛛网膜下腔出血。给予卧床休息、止血剂、维持水电平衡,20％甘露醇250ml 6小时一次快速静滴,5天后(甘露醇量1000克)出现肉眼血尿,继之出现眼睑、球结膜水
Medical record summary: Patient, female, 74 years old. Due to headache with vomiting 12 hours admission. Physical examination: T36.7 ℃, P90 beats / min, R21 beats / min, BP22.6 / 12.0kPa. Consciousness, double pupil normal, neck resistance, no abnormal heart and lungs, skin pain, normal temperature, bilateral muscle strength and muscle tone were normal, the pathological sign did not lead to Brinell sign, Kirschner sign were positive. Cerebrospinal fluid appearance bloody, red blood cells ~ (++++), 20% of red blood cells. BUN 4.8mmol / L, urine normal. Diagnosed as subarachnoid hemorrhage. Give bed rest, hemostatic agents, to maintain hydropower balance, 20% mannitol 250ml 6 hours a rapid intravenous infusion, 5 days (mannitol 1000 grams) appeared gross hematuria, followed by eyelid, conjunctival water