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患者女,34岁。因发烧,头痛,呕吐七天,意识障碍三天,以“乙脑”于1981年9月11日入院。入院检查:体温38.8℃,脉搏88次/分,呼吸30次/分,血压130/110毫米汞柱。浅昏迷状态,面色轻度发绀,瞳孔等大,对光反应存在,颈抵抗。克氏征(+),巴氏征(+),膝反射(-),腹壁反射(-)。经中西医治疗,一般情况明显好转。20％甘露醇250毫升/次,静注。连用四次,用至第五次时,出现寒战、高热、抽搐,五小时之
Female patient, 34 years old. Due to fever, headache, vomiting for seven days, three days of unconsciousness, “JE” was admitted on September 11, 1981. Admission examination: body temperature 38.8 ℃, pulse 88 beats / min, breathing 30 beats / min, blood pressure 130/110 mm Hg. Shallow unconsciousness, pale cyanosis, pupils and other large, light reaction exists, neck resistance. Kirschner sign (+), Pakistan sign (+), knee reflex (-), abdominal reflex (-). After the treatment of Chinese and Western medicine, the general situation is obviously improved. 20% mannitol 250 ml / intravenous injection. Used four times, until the fifth time, there chills, fever, convulsions, five hours