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患儿,男,18个月,因脓血便1周,发热,间断性抽搐12h,于1987年6月10日入院。入院前1周,因着凉后其母发现大便带脓血,1日10余次,无发热,恶心呕吐。经当地卫生所按“菌痢”投服土霉素、黄连素,静脉输入抗生素(药名不详),症状好转,大便1～2/d,呈粘液状,伴有嗜睡。6月9日晚无明显诱因,突然发现手足拘紧,眼球上串,呕吐,时有尖叫,再次去卫生所,测体温39.4℃,肌注镇静药,静滴液体(药名不详)后缓解,伹反复抽搐,经抢救无效急诊入我院。体检:体温39.4℃,脉膊172次,呈嗜睡状态,呼吸稍促,时有上下肢拘紧,营养发育欠佳,皮肤弹力稍差,呈方头,囟门1.5×1.5cm,略凸出,瞳孔等大同圆,对光反应迟钝。口唇微苍白,咽赤,
Children, male, 18 months, 1 week due to purulent blood, fever, intermittent convulsions 12h, on June 10, 1987 admission. 1 week before admission, because of cold mother found stool with sepsis, more than 10 times on the 1st, no fever, nausea and vomiting. The local health clinic according to “bacillary dysentery” vote oxytetracycline, berberine, intravenous antibiotics (drug name unknown), the symptoms improved, stool 1 ~ 2 / d, was mucus-like, accompanied by lethargy. On the evening of June 9 no obvious incentive, suddenly found hand and foot restraint, the eye on the string, vomiting, screaming sometimes, go to the clinic again, measured body temperature 39.4 ℃, intramuscular sedatives, intravenous fluids (unknown drug name) after Relieve, 伹 repeated convulsions, emergency rescue into our hospital. Physical examination: body temperature 39.4 ℃, 172 pulses, was lethargy state, breathing a little urgency, when upper and lower limbs restrained, poor nutritional development, skin elasticity somewhat less, was square head, fontanel 1.5 × 1.5cm, slightly protruding, Pupils and other Datong circle, slow response to light. Pale lips, pharynx red,