论文部分内容阅读
例1:男,50岁。4天前骑自行车摔倒,当时无明显不适,次日始发热,伴头痛、恶心,呕吐两次胃内容物,并时有烦躁不安及恐惧感,不能进食,在当地治疗无效转来我院。查体:体温39℃,呈急性病容,呼吸急促,瞳孔等大,对光反应灵敏,咽部充血,颈软。心率108次/分,律整,双肺呼吸音清晰。肝脾未扪及。四肢腱反射活跃,病理反射未引出。白细胞12.3×10~9/L,中性0.8,淋巴
Example 1: Male, 50 years old. Biking fell 4 days ago, when no obvious discomfort, the next day was fever, with headache, nausea, vomiting twice stomach contents, and sometimes irritability and fear, can not eat, invalid in the local transfer to me hospital. Physical examination: body temperature 39 ℃, showed acute disease, shortness of breath, pupils and other large, sensitive to light, throat congestion, neck soft. Heart rate 108 beats / min, law, lung breath sounds clear. Liver and spleen not palpable. Limb tendon reflexes, pathological reflex did not lead. Leukocytes 12.3 × 10 ~ 9 / L, neutral 0.8, lymph