试题与答案

病历摘要:患者女性,59岁,农民,因在吃早餐时突发剧烈头痛伴呕吐2小时于21时急诊就

题型:多项选择题 案例分析题

题目:

病历摘要:患者女性,59岁,农民,因在吃早餐时突发剧烈头痛伴呕吐2小时于21时急诊就诊,双颞侧头痛明显,持续性,呕吐10余次,既往曾发现血压偏高,查体:T37.3℃,P92次/分,R20次/分,Bp188/85mmHg,神志嗜睡,对答基本切题,双侧瞳孔2.5mm,光反射存在,双侧鼻唇沟对称,颈抵抗,四肢肌张力正常,肌力Ⅴ级,双侧Babinski征(-)。

患者入院检查头部CT,结果显示环池、侧裂池有积血,双侧直回近前纵裂小血肿形成,出血的原因最可能有?()

A.前交通动脉瘤

B.后交通动脉瘤

C.右大脑前动脉A2段动脉瘤

D.右颞动静脉畸形

E.右侧大脑中动脉瘤

F.垂体腺瘤卒中

答案:

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