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女患,42岁,农民,已婚。因发烧、头痛3天,四肢抽动、失语、偏瘫、意识障碍2小时于1991年8月16日入院。患者于3天前感发烧,体温达38.6℃,伴头痛、精神怠倦、纳差乏力。到附近诊所看病,诊为“感冒”,经服“感冒通”及肌注“青、链霉素”后无明显好转。病后无明显咳嗽、流涕、咽痛等症状。入院前2小时,头痛加重,呕吐胃内容物3次,最后一次呈喷射状,并出现四肢抽
Female, 42 years old, farmer, married. Fever, headache for 3 days, limbs twitch, aphasia, hemiplegia, disturbance of consciousness 2 hours in August 16, 1991 admission. The patient had a fever three days earlier, with a body temperature of 38.6 ° C, with headache, mental fatigue and anorexia. Visits to the nearby clinic, diagnosed as “cold”, after the service “flu” and intramuscular injection of “green, streptomycin” after no significant improvement. After the disease no obvious cough, runny nose, sore throat and other symptoms. Two hours before admission, the headache aggravated and vomit the contents of the stomach three times, the last one was jet-like, and there were four limbs pumping