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患儿男,5个月。曾间断发烧、抽风二月余,在当地治疗1月后囱门增大,颅缝裂开。来我院经脑脊液检查诊断为化脑。入院检查:体温37.5℃,脉搏120,呼吸42次,血压84/60。神清。头围43.5cm,前囱4×4cm 张力较高。颈低抗。心、肺、腹部无异常发现。克氏症阴性。血白细胞28.6×10~9/L,中性粒细胞80%。脑脊液无色略混浊,白细胞数66,多核70%。蛋白0.19g/L,葡萄糖3.19mmol/L,氯化物110mmol/L。抽取两侧硬膜下积液,呈淡黄色混浊。镜下见红、白细胞多量。
Children male, 5 months. Had intermittent fever, ventilation in February more than a month after the local treatment of fissure door increases, craniosynostosis. To our hospital by cerebrospinal fluid examination for the diagnosis of brain. Admission examination: body temperature 37.5 ℃, pulse 120, breath 42 times, blood pressure 84/60. God clear. Head circumference 43.5cm, high tension 4 × 4cm before the chimney. Neck low resistance. Heart, lung, abdomen no abnormal findings. Clavicle negative. Blood leukocytes 28.6 × 10 ~ 9 / L, 80% of neutrophils. Cerebrospinal fluid slightly cloudy, white blood cell count 66, multi-core 70%. 0.19 g / L protein, 3.19 mmol / L glucose and 110 mmol / L chloride. Draw both sides of the subdural effusion, pale yellow turbid. See red microscope, a large number of white blood cells.