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腮腺炎是常见病,其合并脑膜脑炎均为可见,但以脑膜脑炎为首发表现者较为少见,因而特报告如下: 病历摘要石某,男,14岁,住院号;32236。因发热2天,头痛、呕吐伴项强1天于1993年2月9日入院。入院前2天无明显诱因突然发热,体温在38℃~40℃,无寒战、咳嗽及流涕。自认“感冒”,口服安乃近数片,症状无缓解。翌日头部剧痛伴喷射性呕吐2次,项强,而以“脑膜脑炎”收入院。查体:T39.4,P92,R26,Bp13.3/8。痛苦热病容,神志清,营养中等,皮肤无出血点,淋巴结不肿大。眼睑无浮肿,
Mumps is a common disease, the merger of meningoencephalitis are visible, but the first manifestation of meningoencephalitis is rare, so special report is as follows: Medical records Shimou, male, 14 years old, hospital number; 32236. Due to fever for 2 days, headache, vomiting with strong 1 day in February 9, 1993 admission. 2 days before admission, no obvious incentive to sudden fever, body temperature at 38 ℃ ~ 40 ℃, no chills, cough and runny nose. Consider themselves “cold”, analgesic orally few tablets, no relief of symptoms. The next day the head pain with jet vomiting 2, Xiang Qiang, and “meningoencephalitis” income hospital. Physical examination: T39.4, P92, R26, Bp13.3 / 8. Painful fever, delirious, moderate nutrition, no bleeding skin, lymph nodes are not swollen. Eyelid without edema,