男,28岁,不慎从4m高坠落。当即昏迷约3h。醒后出现头痛、呕吐,右耳道流血性液体。口向左歪。诊断应考虑
2023-05-09
A.脑震荡、颅前窝骨折
B.脑震荡、颅中窝骨折
C.脑震荡、颅前窝骨折
D.脑挫伤、颅前窝骨折
E.脑挫伤、颅中窝骨折
参考答案:E
B.脑震荡、颅中窝骨折
C.脑震荡、颅前窝骨折
D.脑挫伤、颅前窝骨折
E.脑挫伤、颅中窝骨折
参考答案:E
昏迷约3h(可排除脑震荡,脑震荡昏迷时间<30min,故排除A、B、C),醒后出现头痛、呕吐,支持脑挫伤的诊断,右耳道流血性液体(即合并脑脊液耳漏),口向左歪(面神经损伤),支持颅中窝骨折,故选E。颅前窝骨折可出现"熊猫眼"征,鼻漏等表现,不会出现耳漏,故排除D。考点:脑挫裂伤
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