大师作文网神经内科病例分析（英文）
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神经内科病例分析（英文）
This 62 year-old man with a long history of hypertension was admitted to the hospital because of headache, vomiting and unconsciousness for2 hours. On admission, his blood pressure was 190/120 mmHg, pulse rate 100/min and respiratory rate 24/min.This patient lapsed into coma soon. His pupils were pinpoint in size and minimally reactive to light. The corneal reflexes were absent. There was no automatical movement on four extremities with exaggerated deep tendon reflexes and Babinski’signs on both sides. Then the patient developed respiratory failure and hyperthermia rapidly.
Questions:
1. What neurological structures were damaged?
2. What is your diagnosis about the patient?
3. What differential diagnoses should you think about?
4. What is the principle treatment to the patient?
2小时内答复额外奖100分,中文回答就行
汗死,我要的是4个问题的答案,不是翻译
This 62 year-old man with a long history of hypertension was admitted to the hospital because of headache, vomiting and unconsciousness for2 hours. On admission, his blood pressure was 190/120 mmHg, pulse rate 100/min and respiratory rate 24/min.This patient lapsed into coma soon. His pupils were pinpoint in size and minimally reactive to light. The corneal reflexes were absent. There was no automatical movement on four extremities with exaggerated deep tendon reflexes and Babinski’signs on both sides. Then the patient developed respiratory failure and hyperthermia rapidly.
Questions:
1. What neurological structures were damaged?
2. What is your diagnosis about the patient?
3. What differential diagnoses should you think about?
4. What is the principle treatment to the patient?
2小时内答复额外奖100分,中文回答就行
汗死,我要的是4个问题的答案,不是翻译
我来试一下
1）损坏的神经结构为大脑脑桥及第四脑室.
2）对这位患则的诊断为高血压性脑出血.
3）应该与急性脑梗死、蛛网膜下腔出血相鉴别.
4）治疗方案：
1.生命体征监护,保证呼吸道畅通,吸氧.
2.控制脑水肿,降低颅内压,如甘露醇、利尿剂、地塞米松.并带冰帽.
3.控制高血压
4.维持水电解质平衡
5.防止感染及并发症
6.通过检查,根据病情确定外科手术的必要性和可能 性
1）损坏的神经结构为大脑脑桥及第四脑室.
2）对这位患则的诊断为高血压性脑出血.
3）应该与急性脑梗死、蛛网膜下腔出血相鉴别.
4）治疗方案：
1.生命体征监护,保证呼吸道畅通,吸氧.
2.控制脑水肿,降低颅内压,如甘露醇、利尿剂、地塞米松.并带冰帽.
3.控制高血压
4.维持水电解质平衡
5.防止感染及并发症
6.通过检查,根据病情确定外科手术的必要性和可能 性
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