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例1,男,26岁。因发热伴腮腺肿大6天、意识障碍1天于1992年6月21日入院。6天前患者自觉畏寒、发热、双侧腮腺相继肿大,当地医生给予肌注青霉素、退热剂,热渐退。4天前始觉中等度头胀痛。少语。今晨突然出现四肢抽搐、口吐白沫、面色青紫、二便失禁、意识丧失,约10分钟左右抽搐停止,但仍神志不清。既往体健。查体:T39.2℃,P86次/分,R21次/分,Bp16/11kPa。浅昏迷状态,全身皮肤无皮疹和出血点,两侧瞳孔等大等圆,光反应迟钝,双侧耳垂前下方轻度肿胀,不红,边缘不清,无压痛,心、肺、腹无特殊。两侧鼻唇沟对称、四肢均有无意识运动,双膝、桡骨腱反射活跃,颈抵抗,
Example 1, male, 26 years old. Due to fever with parotid enlargement of 6 days, disturbance of consciousness 1 day in June 21, 1992 admission. 6 days ago, patients with a sense of chills, fever, bilateral parotid gland enlargement, local doctors give muscle injection penicillin, antipyretics, fever faded. 4 days ago began to feel moderate head pain. Less language. This morning suddenly appeared limbs convulsions, foaming at the mouth, looking bruising, second incontinence, loss of consciousness, convulsions about 10 minutes to stop, but still unconscious. Past physical health. Physical examination: T39.2 ℃, P86 times / min, R21 times / min, Bp16 / 11kPa. Shallow unconscious state, systemic skin rash and bleeding points, both sides of the pupil and other large round, slow phototherapy, bilateral earlobe slightly swollen before the bottom, not red, unclear edge, no tenderness, heart, lung, abdomen no special . Both sides of the nasolabial fold symmetrical limb unconscious movement, knees, radial tendon reflexes, neck resistance,