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患者楚××,男,12岁,学生.于1977年3月12日上午因发热、头疼、呕吐一天,以流脑入院。体检:体温39.1℃,脉搏119次/分,血压90/60毫米汞柱.躁动,神志不清,颈硬,克氏征、布氏征阳性.全身皮肤粘膜有米粒大小出血点,两上肢及臀部为多.血象:白细胞16400,中性83%,淋巴21%.脑脊液:微混,潘氏试验阳性,细胞数4900,中性73%,涂片见脑膜炎双球菌。确诊后,立即给予磺胺嘧啶、青霉素、氢化可的松、维生素 C 及10%葡萄糖等治疗.第2天体温下降,神志渐转清,第四天皮肤瘀点消退,头痛减轻,能下床大小便和进食.第6天阵发性脐周围痛,胸腹透视阴性,腹部凹陷,可扪及条索状物,夜间自肛门爬出蛔虫2条,此时精神、说话、饮食、活动均正常.
Patient Chu × ×, male, 12 years old, student. On March 12, 1977 morning due to fever, headache, vomiting one day to meridians admission. Physical examination: body temperature 39.1 ℃, pulse 119 beats / min, blood pressure 90/60 mm Hg. Restlessness, confusion, stiff neck, Kirschner sign, Brinell sign positive systemic skin and mucous membrane bleeding point size, Hemogram: 164,000 white blood cells, 83% neutral, lymph 21%. Cerebrospinal fluid: micro-mixing, positive Pancreatic test cell number 4900, 73% neutral, see smear meningococcus. After the diagnosis, given sulfadiazine, penicillin, hydrocortisone, vitamin C and 10% glucose and other treatment .2 days body temperature decreased consciousness gradually clear the fourth day the skin petechia subsided, reduce headaches, get out of bed size 6th day paroxysmal umbilical pain, chest and abdomen perspective negative, abdominal depression, palpable bar cords, night crawling out of the round ascaris 2, at this time the spirit, speaking, eating, activities were normal .