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病例报告男患,23岁,农民。因频繁呃逆半月余入院。该患平素健康,1月前因感冒愈后渐表现精神抑郁,未引起重视。半月前出现呃逆,发作逐渐频繁,与饮食无关。至入院前5日,呃逆呈持续性,无发热、头痛、恶心及呕吐。查体:神志清,极度疲乏状,呃逆不止。体温正常。心肺未见异常。腹肌稍紧张,肝脾未触及。神经系统检查无阳性体征。血、尿、便常规化验均在正常范围。胸正位像、腹部B超亦未见异常。入院后第3日,出现发热,体温38.0℃,且神志出现改变,精神恍惚,阵发性定向力下降。腰
Male case report, 23 years old, farmer. Due to frequent hiccups more than half a month admitted to hospital. The plain healthy, a month ago due to flu gradually show depression, did not pay attention. Hiccups appeared half a month ago, seizures gradually frequent, nothing to do with diet. 5 days before admission, hiccup was persistent, no fever, headache, nausea and vomiting. Examination: Consciousness, extreme fatigue, hiccups more than. Normal body temperature. Heart and lung no abnormalities. Slightly nervous abdominal muscles, liver and spleen not touched. Neurological examination no positive signs. Blood, urine, routine tests are in the normal range. Positive chest image, abdomen, B-also no abnormalities. Admission on the 3rd, there was fever, body temperature 38.0 ℃, and consciousness changes, trance, paroxysmal sexual orientation decreased. waist