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患者男,39岁。因突发头痛、呕吐(非喷射性)18小时就诊,颅脑CT示双侧裂池内高密度影,CT值44～51Hu,鞍上池显示不清,以蛛网膜下腔出血收入院。入院查体:BP18/9kPa,颈部抵抗感(+),无神经系统体征。腰穿压力2.45kPa,脑脊液均匀呈淡黄色,红细胞4800,白细胞2×10~6/L,糖五管阳性,蛋白定量0.4g/L。高倍镜视野淋巴样细胞4个,单核样细胞5个,红细胞0～1个。余无异常发现。给予脱水、抗纤溶药物及营养神经药物治疗。入院第14天腰穿术后突感头痛、心
Male patient, 39 years old. Due to sudden headache, vomiting (non-injectable) 18 hours of treatment, brain CT showed bilateral fissure pool high density, CT value 44 ~ 51Hu, saddle pool showed unclear, to subarachnoid hemorrhage hospital. Admission examination: BP18 / 9kPa, neck resistance (+), no signs of nervous system. Lumbar puncture pressure 2.45kPa, cerebrospinal fluid was pale yellow, white blood cells 4800, white blood cells 2 × 10 ~ 6 / L, sugar five tubes were positive, protein quantitation 0.4g / L. High magnification view 4 lymphocytes, mononuclear cells 5, 0 to 1 red blood cells. I found no abnormalities. Give dehydration, anti-fibrinolytic drugs and neurotrophic drugs. 14 days after admission lumbar puncture after the sudden headache, heart