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患者刘××,男,13岁,农民,因间日性发冷发烧5天,昏迷1天,于1965年7月27日入院。患者入院前5天,感到全身发冷,约一小时后又觉发烧,同时伴有头痛、头晕、四肢酸痛及周身不适,烧退后大汗淋漓。以后隔日发作一次。第五天晚上,突然发生抽搐,继之不醒人事,进入昏迷,次晨四点三十分急症入院。体检:体温38.6℃,脉搏每分120次,呼吸每分25次,血压120/70毫米汞柱。急性病容,神志不清,昏迷状态。两眼球固定,瞳孔缩小,等大,对光反应及调节反应消失。颈软无抵抗,两肺呼吸音粗糙,可闻及鼾音。心脏(一)。腹平坦柔软,肝脾未触及。脊柱四肢(一),腹壁反射及提睾反射均消失,病理反射巴彬斯基征(+),其余(-)。化验:红细胞244万,血红蛋白9克％,白细胞
Patient Liu × ×, male, 13 years old, farmer, due to intercurrent fever for 5 days, coma for 1 day, was admitted on July 27, 1965. Patients admitted to hospital 5 days before, feel the whole body chills, about an hour later again feel fever, accompanied by headache, dizziness, limbs and whole body discomfort, after sweating sweating. After a seizure every other day. The fifth night, sudden convulsions, followed by awakened personnel, into a coma, the next morning at 4.30 emergency admission. Physical examination: body temperature 38.6 ℃, pulse 120 points per minute, breathing 25 points per minute, blood pressure 120/70 mm Hg. Acute illness, unconsciousness, unconsciousness. Fixed two eyes, miosis, such as large, light response and regulation response disappeared. Soft neck non-resistance, rough lung breath sounds, audible and snoring. Heart (a). Abdomen flat and soft, liver and spleen not touched. Spinal limbs (a), abdominal wall reflex and cremaster reflex disappeared, pathological reflex Babinski sign (+), the rest (-). Laboratory tests: 2.44 million red blood cells, 9% hemoglobin, white blood cells