患者,男,69岁,2012年1月26日因突发意识障碍2 h入院,无呕吐、四肢抽搐症状。既往有高血压病史8余年,有青霉素过敏史。急查头颅CT示:左侧基底节区出血破入脑室,中线结构尚居中,环池清晰。临床诊断:①高血压脑出血(左侧基底节区脑出血);②高血压病3级(极高危)。行急诊开颅血肿清除术,术后给予注射用头孢曲松钠预防感染,甘露醇注射液脱水、注射用血凝酶止血,以及补液、营养 Patient, male, 69 years old, January 26, 2012 Admitted to hospital due to sudden disturbance of consciousness 2 h, no vomiting, convulsions in extremities. Past history of hypertension more than 8 years, a history of penicillin allergy. Emergency head CT showed: the left basal ganglia hemorrhage broke into the ventricle, midline structure is still centered, Central pool clear. Clinical diagnosis: ① hypertensive cerebral hemorrhage (left basal ganglia hemorrhage); ② hypertension 3 (very high risk). Emergency craniotomy hematoma removal, postoperative injection of ceftriaxone to prevent infection, dehydration of mannitol injection, hemostatic injection of hemagglutinin, and rehydration, nutrition