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患者,女,6岁,于1982年6月14日经腰穿确诊为“结脑”收入院。查体:T36.8℃,P80次/分。重病容,神志恍惚,瞳孔等圆等大,光反射存在,颈有抵抗,心肺无异常。肝右肋下1.5cm,质软,克氏征、布氏征均(+)。化验:二便正常;血红蛋白11g%,红细胞400万,白细胞13500,中性84%,淋巴16%,血小板13万;肝功能正常;脑脊液微混;白细胞92,中性61%,淋巴39%,潘氏试验(+),糖20mg%。入院后给予链霉素、雷米封、地塞米松等治疗,次日神志转清。于17日上午病情又加重,改用高渗
The patient, female, 6 years old, was diagnosed with lumbar puncture on June 14, Physical examination: T36.8 ℃, P80 beats / min. Seriously ill, trance, pupils and other large circle, the presence of light reflex, neck resistance, no abnormal heart and lung. Liver right rib 1.5cm, soft, Kirschner Sign, Brinell sign (+). Assay: two will be normal; hemoglobin 11g%, erythrocyte 4 million, white blood cells 13500, 84% of neutral, lymphatic 16%, platelet 130,000; liver function normal; micro-mixed cerebrospinal fluid; white blood cells 92, Pan test (+), sugar 20mg%. After admission to streptomycin, Remy sealed, dexamethasone and other treatment, the next day consciousness clear. In the morning of the 17th the condition was aggravated, use hypertonic instead