题目内容

男,50岁,车祸致枕部着地,昏述1小时,查体:P50次/分,R12次分,BP 170/100mHg,右枕部头皮挫伤灶,GCS5分,瞳孔左:右=4mm:2mm,左侧对光反射消失,右侧肢体偏瘫。23.对诊断最有价值的检查是

A. 腰椎穿刺
B. 头颅超声
C. 头颅CT
D. 脑血管造影
E. 头颅X线平片24.如患者颅脑损伤为左额极,颞极脑挫伤伴脑内血肿,最可能的损伤机制是 BA.挥鞭伤B.减速性损伤C.挤压伤D.加速性损伤E.坠落伤25.最应该采取的治疗措施是 CA.大剂量糖皮质激素B.腰椎穿刺放脑脊液减压C.急诊开颅手术D.绝对卧床E冬眠疗法

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