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病案分析题（请分析下列病案的诊断、诊断依据；并写出治疗方法）患者，男性，19岁。4小时前因车祸致头部外伤，伤后有约10分钟神志不醒，苏醒后觉伤处疼痛，1小时前头痛加剧，伴呕吐胃内容物多次，被抬送急诊。查：T36.4℃，R16次/min，P64次／min，BP135/80mmHg。患者意识模糊，呈嗜睡状，能应，GCS=E 2 V 4 M 5 ，左额颞部一约3cm×4cm大小头皮血肿，无明湿凹陷、压痛，口鼻耳无流血及漏液。左颧部皮肤擦伤、渗血，双侧瞳孔左4mm，右2.5mm，对光反射左侧迟钝，右侧存在，颈及胸腹无异常，右侧肢体肌力Ⅳ级，肌张力稍增高，病理反射阴性，X线照片示颅骨未见骨折线。
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