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患儿,男,8个月。发烧、抽搐五天,呕吐四天于1980年5月5日急诊入院。5月1日上午发现患儿低烧、怠倦,中午体温突然升至41℃,阵发性抽搐,曾在当地诊治,肌注庆大霉素及“退烧针”。次日患儿体温39～40℃,静脉点滴青霉素(剂量不祥),体温持续不退,并出现喷射状呕吐,及尖声哭叫,抽搐加重,急转我院,以“流脑”住院。体检:体温38.5℃,脉搏135次/分,呼吸45次/分。营养发育好,神志不清,烦躁,口唇无紫绀。皮肤
Children, male, 8 months. Fever, convulsions for five days, vomiting four days in May 5, 1980 emergency admission. May 1 morning found that children with low-grade fever, fatigue, noon temperature suddenly rose to 41 ℃, paroxysmal convulsions, had a local diagnosis and treatment, intramuscular injection of gentamicin and “fever needle.” The next day, the temperature of children with 39 ~ 40 ℃, intravenous penicillin (ominous dose), body temperature continued to decline, and the emergence of jet-like vomiting, and screaming, twitching aggravating, urgent hospital, “meningitis” hospitalization. Physical examination: body temperature 38.5 ℃, pulse 135 beats / min, breathing 45 beats / min. Good nutrition, confusion, irritability, lips without cyanosis. skin