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例1,女,18岁。10天前在当地医院腰麻下行阑尾切除术。术后第8天发热、体温38.9℃,头痛、呕吐、烦燥,来我院急诊。查白细胞18.9×10~9/L,中性0.89;脑脊液细胞数752×10~6/L,中性粒细胞大于0.91,单核及淋巴细胞少许,蛋白定量1.800g/L,糖2.0mmol/L,氯化物110mmol/L。给于大剂量青霉素、氯霉素、氨苄青霉素及脱水降颅内压药物治疗。第12天体温正常,临床症状明显好转,周围血象正常。第16天复查脑脊液:细胞数14×10~6/L,蛋白定量0.500g/L,糖、氯化物正常;第20天治愈出院。
Example 1, female, 18 years old. Appendectomy was performed in a local hospital spinal cord 10 days ago. After the first 8 days of fever, body temperature 38.9 ℃, headache, vomiting, irritability, to our hospital emergency room. The number of leukocytes was 18.9 × 10 ~ 9 / L, neutrality was 0.89. The number of cerebrospinal fluid cells was 752 × 10 ~ 6 / L, neutrophils was greater than 0.91, mononuclear and lymphocytes were a little. The protein quantitation was 1.800 g / L, chloride 110mmol / L. For large doses of penicillin, chloramphenicol, ampicillin and dehydration decreased intracranial pressure drug treatment. The first 12 days of normal body temperature, clinical symptoms improved significantly, peripheral blood as normal. On the 16th day, cerebrospinal fluid was rechecked: the number of cells was 14 × 10 ~ 6 / L, the protein quantitation was 0.500g / L, and the sugar and chloride were normal;