    we have lived a lengthy weekend,said my father.truely ,on saturday,grandpa vomit once in the morning and couldn't move without help,still with slurred speech ,occasionally delirium,i think.at 9pm.when he nausea the second time,i called 120 for i remain doubted of that it was not only derived by atrophy of brain (although atrophy of cerebellum also could induce vertigo or vomiting corresponding ),for the not slow advance of symptom.120 ,stretcher ,emergency room,waiting ,physician of neurology,cranial CT,large mount subdural hematoma,urgent admission ,neurosurgery,ICU,record of history ,dehydration,observation...,i stay behind in the aisle for becalled in case of aggravation.then 3:45pm today ,operation,5pm return to ICU,we were back leaving connection numbers.
    review of these days,i regretted not send grandpa to the hospital earlier ,after all,i will be a docter in the future.it's my duty to look after my family at least.luckily,eventually we had him the operation,and it's diagnosed to be chronic .
    chronic subdural hematoma
    history:
     almost in April,guandfather had a trauma in my hometown when living with my uncle,at   that time,only with facial countusion ,given debridement in local hospital and no further treatment.
    onste :
    five days early,altered cognitive capacity ,decreased memory ;not clear about the position of his room;urine in living room;
    four days early,slurred speech,delirium slightly,ahd the previous symptom.muscular tension is normal;
    three days early,aggravated everythings;
    two days early,added headache accompanied with dizziness, nausea and vomiting two times.
    CT:
    there is a large chronic subdural hematoma with hypodense compared to the brain on the left hemisphere and brain midline moved to the right the ventricle curshed ; also a infarction focus out of date on the right occipital lobe(nearly one year earlier,there was a stroke with him) .

posted on 2007-07-22 21:50 红沙发音乐城阅读(261) 评论(0) 编辑收藏所属分类: Beluga's stomach