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患者,男,50岁。因头痛3天,加重伴意识障碍1天于1988年4月7日入院。T38℃,P100次/分,R25次/分,BP17.3/10.7kPa,昏睡,皮肤粘膜无瘀点,瘀斑。双瞳等大。对光反射减弱,颈高度抵抗。心肺无异常发现,腹部阴性。克尼格、布鲁辛基征阳性。脑脊液无色透明,压力2.0kPa,白细胞15.6×10~9/L,多核0.64,单核0.36,蛋白(++),糖>2.8mmol/L,氯化物108mmol/L,抗酸染色未找到抗酸杆菌,革兰染色未
Patient, male, 50 years old. Due to headache for 3 days, aggravated with disturbance of consciousness one day in April 7, 1988 admission. T38 ℃, P100 beats / min, R25 beats / min, BP17.3 / 10.7kPa, lethargy, skin and mucous membrane petechiae, ecchymosis. Double pupil and other big. Weak reflection of light, neck height resistance. No abnormal heart and lung, abdominal negative. Konegg, Broussin sign positive. Cerebrospinal fluid was colorless and transparent with a pressure of 2.0 kPa, white blood cells of 15.6 × 10 ~ 9 / L, multinucleated 0.64, mononuclear 0.36, protein (++), sugar> 2.8 mmol / L and chloride 108 mmol / Acidobacteria, Gram stain not