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此病在临床上很少见,如不能及时确诊治疗,死亡率甚高。现将我院收治1例报告如下: 患者男性,14岁,住院号:90077。因剧烈头痛,发热10小时,无呕吐,并神志不清,反复抽搐5小时,抽搐时口吐泡沫。经本地卫生所肌注镇静剂后抽搐频率稍减慢,口吐泡沫消失而入院,入院时时小便已失禁。体查:体温39℃,脉搏118次/分,呼吸32次/分、血压21.3/13.3 kPa,面色苍白,神志昏迷。皮肤、巩膜无黄染,全身皮肤无痰斑及出血点,浅表淋巴结不肿大。双侧瞳孔均扩大,直径约0.8cm,对光反射消失。鼻翼掮动,嘴唇发绀。颈软。呼吸不规则,呈潮式。心肺无明显异常发现。四肢肌张力增强,上肢呈内旋,下肢伸长强直。浅反射消失,
The disease is clinically rare, if not timely diagnosis and treatment, the mortality rate is very high. Now in our hospital admitted to a report as follows: Patient male, 14 years old, hospital number: 90077. Due to severe headache, fever 10 hours, no vomiting, and unconsciousness, repeated convulsions 5 hours, vomiting bubble when convulsions. After local sedation, the sedation frequency of the sedatives was slightly slowed down. The vomit bubble disappeared and was admitted to the hospital. Urination was incontinent at admission. Physical examination: body temperature 39 ℃, pulse 118 beats / min, breathing 32 beats / min, blood pressure 21.3 / 13.3 kPa, pale, unconscious. Skin, sclera no yellow dye, no skin spots and bleeding spots, superficial lymph nodes not swollen. Both pupils were enlarged, the diameter of about 0.8cm, the light reflection disappeared. Nose move, lips cyanosis. Neck soft. Irregular breathing, was tide. No significant abnormal heart and lung findings. Limb muscle tension increased, upper extremity was internal rotation, lower extremity elongation. Shallow reflection disappear,