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我院1981年曾收住一例在18年间再发三次均经细菌学证实的流脑患者,现报导如下;并结合再发性化脑的有关文献进行复习,以供参考.患者男性,28岁,畏寒高热,头痛呕吐一天,1981月4月27日住我院传染病科.神清,急病容,体温38℃,脉搏78次,血压110/60,胸部及四肢可见散在性出血点,乳突及副鼻窦无压痛,未见CSF鼻漏.脊柱及其两侧(即中线部位)皮肤未见窦口与窦道,颈稍强直,克氏征及布氏征(一).白细胞18900,中性90%,淋巴10%;皮肤淤点涂片(一).CSF:混浊,白细胞7600,N78%,L22%,涂片查见G-双球菌;潘氏反应卅,蛋白300mg%.脑电图正常,脑超声波检查中线无偏移.经SD,
In 1981, our hospital had admitted to a case of recurrent episodes of encephaloma three times in 18 years confirmed by bacteriology, are reported as follows; combined with recurrent brain-related literature review for reference. Male patients, 28 years old , Chills and fever, headache and vomiting one day, living in our department of Infectious Diseases April 27, 1981. Shen Qing, acute illness, body temperature 38 ℃, pulse 78 times, blood pressure 110/60, chest and limbs visible scattered bleeding, Mastoid and paranasal sinus no tenderness, no CSF rhinorrhea spine and its both sides (ie, midline site) no sinus ostium and sinus of the skin, slightly stiff neck, Kirschner sign and Briggs sign (a) white blood cells 18900 , Neutral 90%, lymphatic 10%; skin petechia smear (a) .CSF: cloudy, white blood cells 7600, N78%, L22% smear see G-diphtheria; Pan reaction, protein 300mg%. EEG normal brain ultrasound without midline offset by SD,