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我科收治1例散发性脑炎发生强直性瞳孔患者,现报告如下: 患者 女,33岁。因持续发热8天于1986年7月6日入院。查:T38.2℃,嗜睡,双瞳孔等大,对光反射正常,无内科及神经系统阳性体征。WBC3900/mm~3,EC计数0个。7月8日上午出现瞳孔不等大,左2.5mm,右5mm,右瞳孔光反射近乎消失,视力及眼底正常,集合反应存在。颈抵抗二横指,膝反射活跃,双Babinski征(+),OPpenheim征(+)。快速静滴20％甘露醇500ml,右瞳孔无缩小,后行腰穿,CSF压力0,用注射器吸取4ml 送检:潘氏试验
I treated 1 case of sporadic encephalitis occurred in patients with ankylosing murmur, are as follows: The patient female, 33 years old. 8 days due to persistent fever on July 6, 1986 admission. Check: T38.2 ℃, drowsiness, double pupil and other large, light reflex normal, no internal medicine and nervous system positive signs. WBC3900 / mm ~ 3, EC count 0. On the morning of July 8, pupils ranged in size. Left 2.5mm, right 5mm, right pupil light reflections almost disappeared, and visual acuity and fundus were normal. The collection reaction existed. Cervical resistance two transverse fingers, knee reflex active, double Babinski sign (+), OPpenheim sign (+). Rapid intravenous infusion of 20% mannitol 500ml, no reduction of the right pupil, followed by lumbar puncture, CSF pressure 0, with a syringe to draw 4ml submission: Pan test