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患者男性、56岁,于1986年3月7日21时许寒战,发热,伴有持续性剧烈头痛,呕吐一次,呈非喷射状,为胃内容少量、一夜未眠。于翌晨3时语无伦次,燥动不安、神志不清,但无抽搐。经腰穿确诊为暴发型流行性脑脊髓膜炎(流脑)入院。既往患高血压病、脑动脉硬化八年。查体;T36℃,P96次/分、R24次/分,Bp:150/100mmHg,神志模糊、燥动不安,胸腹部散在瘀点,颈强二横指,克氏征阳性,巴氏征阳性。血白细胞23,600,中性92％,淋巴8％,脑脊液:外观脓性浑浊,压力220毫米水柱,潘氏反应卅,白细胞数3,600,中胜97％,淋巴3％蛋白200mg％,糖7.3mg％,氯化物590mg％,检出脑膜炎双球菌,入院后下午发热持续20天(37.5～38.5℃)昏迷5天,抽搐4次。血压波动在190/130至70/50之间。经用大量青
Male, 56 years old, at 21 o’clock on March 7, 1986 Xu chills, fever, with persistent severe headache, vomiting once, non-jet-like, a small amount of stomach content, sleepless nights. 3 o’clock the next morning incoherent, restless, unconscious, but no convulsions. The lumbar puncture diagnosed as fulminant epidemic cerebrospinal meningitis (meningitis) admitted. Previously suffering from hypertension, cerebral arteriosclerosis eight years. Examination; T36 ℃, P96 beats / min, R24 beats / min, Bp: 150 / 100mmHg, confusion, restlessness, chest and abdomen scattered petechiae, . Blood white blood cells 23,600, Neutral 92%, Lymph 8%, Cerebrospinal fluid: Appearance Purulent opacity, Pressure 220 mmHg, Pan’s reaction 卅, WBC count 3,600, Win 97%, Lymph 3% Protein 200mg%, Sugar 7.3mg% , 590mg% chloride, meningococcus was detected in the afternoon fever after admission for 20 days (37.5 ~ 38.5 ℃) coma for 5 days, twitching 4 times. Blood pressure fluctuations between 190/130 to 70/50. After using a large number of green