男性,56岁。既往有高血压病史10余年。本次因大便后突发头痛、偏瘫4h伴呕吐2次送入

题型:单项选择题 案例分析题

问题:

男性,56岁。既往有高血压病史10余年。本次因大便后突发头痛、偏瘫4h伴呕吐2次送入急诊室。体检:BP26/14kPa,左侧上下肢肌力0级,肌张力低下。左侧偏身痛觉减退。

[假设信息]若该患者于住院10h后突然神志不清,体检:BP26/14kPA.昏迷状态,压眶无反应,瞳孔直径右侧3.5mm,左侧2.5mm,光反应消失,双侧巴氏征(+),可能诊断和预后判断为()

A.小脑幕裂孔疝形成,预后极差

B.枕大孔疝形成,预后极差

C.再次出血,预后一般

D.继发脑干缺血。预后较差

E.资料不全,不能作预后判断

考点:医学影像住院医师其他科室其他科室题库
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