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患者张某某、男、57岁,住院号214317.左下后牙痛、左面部肿胀、张口困难十天。在当地卫生院治疗,未见好转,于1989年8月14日收入我院治疗。体格检查: 体温39℃,脉搏86次/分,呼吸24次/分,血压13.3/10.4kPa。重病面容,神志模糊,小便失禁,皮肤粘膜未见出血点。左上睑肿胀下垂,双侧眼球活动未见异常,瞳孔等大等圆,对光反射存在,双侧眼底未见明显水肿。颈强直,心肺未见异常。腹平软,肝脾未触及。Brudzinski征阳性,左
Zhang Moumou patients, male, 57 years old, hospital number 214317. Lower left back toothache, left facial swelling, mouth ten days difficult. In the local hospital treatment, no improvement, in August 14, 1989 income in our hospital treatment. Physical examination: body temperature 39 ℃, pulse 86 beats / min, breathing 24 beats / min, blood pressure 13.3 / 10.4kPa. Serious illness, vague mind, urinary incontinence, skin and mucous membrane no bleeding point. Left upper eyelid swelling and drooping, no abnormal bilateral eye movements, pupils and other large round, the presence of light reflex, bilateral fundus no obvious edema. Neck stiffness, no abnormal heart and lungs. Abdomen soft, liver and spleen not touched. Brudzinski sign positive, left