男患,68岁,主因以劳累后突然四肢痉挛性抽搐,意识丧失4小时,经急诊室以“脑出血”于1993年3月5日收入院。入院所见病人意识不清,呈深昏迷状态,血压30/14kPa,呼吸略促,四肢冷汗,双侧瞳孔等大缩小,对光反应不敏感,右侧鼻唇沟略浅浅于左侧,颈软,四肢痉挛性瘫痪,肌张力增高,双膝腱反射亢进,克氏征(-),巴氏征(-),双肺 Male suffering, 68 years old, mainly due to fatigue after a sudden spasm of limbs convulsions, loss of consciousness 4 hours, the emergency department to “cerebral hemorrhage” in March 5, 1993 income hospital. Inpatient see patients with unconsciousness, was a deep coma, blood pressure 30 / 14kPa, breathing a little, cold limbs, bilateral pupils and other large shrinkage, insensitive to light reaction, the right nasolabial fold slightly shallow left, Neck soft, limb spastic paralysis, increased muscle tone, double tendon hyperreflexia, Kirschner sign (-), Pakistan sign (-), lung