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1案例资料李某,男。2011年7月15日凌晨在网吧内因纠纷与他人发生口角,被他人用板凳殴打头部,当日因“头部外伤4小时伴头痛及左颞部凹陷”至当地医院就诊。查体:神志清,精神萎,左额颞顶可见约25cm切口疤痕,左颞部头皮凹陷范围约5cm×5cm,双侧瞳孔等大、直径3mm、对光反射灵敏,脊柱及四肢无明显畸形,四肢肌力、肌张力正常,生理反射存在,病理征反射未引出。头颅CT提示:左额颞顶颅骨修补术后(系此次外伤前已有即往头部外伤手术史),颅板下
1 case information Lee, male. In the early morning of July 15, 2011, an altercation occurred in another Internet cafe and was beaten by another with a bench. On the same day, he was referred to a local hospital for “Headache 4 hours with Headache and Left Temporal Depression” on the same day. Physical examination: conscious, spiritual wilting, left frontal temporal crest visible about 25cm incision scars, left temporal scalp depression range of about 5cm × 5cm, bilateral pupil and other large, diameter 3mm, sensitive to light reflex, spine and limbs no significant deformity , Limb muscle strength, normal muscle tone, the presence of physiological reflex, pathological reflex did not lead. Head CT Tip: After the left frontal temporal skull repair (Department of the trauma has been to head trauma surgery history), under the skull plate