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例1女性,34岁。1984年9月6日因患“急性阑尾炎”在当地医院腰麻下行囊尾切除术。术后7天开始发热,头痛,并逐渐加重。使用青霉素等抗生素及脱水剂,症状未控制,反而加剧。于9月16日转我院。平素健康。入院检查:T39.2℃,P90,R18,BP120/66。神清,皮肤粘膜未见出血点,未见皮疹,心肺(-),腹部手术切口无脓性分泌物,肝脾肋下未触及,颈强直,克氏征、布氏征均阴性。实验室检查:血红蛋白8.5克,白细胞15800,中性92%,淋巴8%。脑脊液无色微混,潘氏试验(±),白细胞1200,中性86%淋巴14%,葡萄糖半定量40～50mg,氯化物620mg。血、脑脊液培养均阴性。胸片未见异常。住院经过:
Example 1 Female, 34 years old. September 6, 1984 due to suffering from “acute appendicitis” in the local hospital spinal cyst excision. 7 days after the onset of fever, headache, and gradually increased. Use of penicillin and other antibiotics and dehydrating agents, symptoms not controlled, but intensified. On September 16, transferred to our hospital. Usually healthy. Admission examination: T39.2 ℃, P90, R18, BP120 / 66. Clear, skin and mucous membrane no bleeding point, no rash, cardiopulmonary (-), abdominal surgical incision without purulent secretions, liver and spleen ribs untouched, neck stiffness, Kirschner Sign, Clint’s sign were negative. Laboratory tests: 8.5 grams of hemoglobin, 15800 leukocytes, 92% neutral, lymphatic 8%. Cerebrospinal fluid colorless micro-mix, Pan’s test (±), white blood cells 1200, neutral 86% lymph 14%, semi-quantitative glucose 40 ~ 50mg, chloride 620mg. Blood, cerebrospinal fluid were negative. No abnormal chest X-ray. After hospitalization: