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病历摘要 周某,男,38岁,因高热、头痛,偶伴呕吐10天,阵发性神志恍惚1天半,于1981年2月28日入院。 1981年2月18日起病,头痛、发热。5天后急诊检查,仅发现咽部充血,按“上感”处理无效,次日又去另一医院急诊,体征依旧,白细胞10,200,中性75％,淋巴25％,胸透(-),继续按“上感”治疗。笫三日仍高热,有谵语,复诊用柴胡和鲁米那肌注,因症状日渐加重,于2月26日来我院急诊。体检发现:体温40.1C,血压170/100,昏迷,眼球上翻,瞳孔及眼底正常,颈强,全
Medical history summary Zhou, male, 38 years old, due to fever, headache, occasional vomiting for 10 days, paroxysmal trance 1 and a half days, on February 28, 1981 admission. February 18, 1981 onset, headache, fever. 5 days after the emergency examination, only to find pharyngeal hyperemia, according to the “flu” treatment ineffective, the next day went to another hospital emergency, signs still, white blood cells 10,200, 75% neutral, lymphatic 25%, thoracic (-), continue Press “sense” treatment. The third day is still hot, with brains, referral with Bupleurum and Romy that intramuscular injection, due to increasing symptoms, on February 26 to our hospital emergency room. Physical examination found: body temperature 40.1C, blood pressure 170/100, coma, eye up, pupil and fundus normal, neck strong, all