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例1、女,21岁,农民。低热、头痛、呕吐一月,神志恍惚一周。1988年3月25日曾就诊于当地医院,体检(转院记录):BP16.0/10.7kPa,谵妄,皮肤未见淤点,颈明显抵抗,克氏征(+),巴氏征(+)。血象:WBC16×10~9/L,N0.90,L0.10。脑脊液:有核细胞0.5×10~9/L,N0.85,L0.15,潘氏(++),糖2.78mmol,氯化物169mmol/L,涂片查见G~-双球菌,诊断流脑。给青霉素、氯霉素治疗。次日神志转清。3月29日再次昏迷转入本院。体检:浅昏迷,瞳孔等大,对光反射存在,口角向左偏斜,颈抵抗,克氏征(+),巴氏征(-)。血象:WBC10×10°/L,N0.82,L0.18。脑脊液:无色透明,有核细胞0.21x10~9/L,N0.98,L0.02。潘氏(卌),(?)<1.1mmol/L,氯化物166mmol/L,涂片查见抗酸杆菌,给抗生素及抗痨药物治疗。3月30日突然呼吸心脏停止,抢救无效死亡。
Example 1, female, 21 years old, farmer. Low fever, headache, vomiting in January, trance week. March 25, 1988 visited the local hospital, physical examination (transfer records): BP16.0 / 10.7kPa, delirium, the skin does not see the bruises, the neck was significantly resistant to Kline’s sign (+), Pakistan’s sign (+ . Blood: WBC16 × 10 ~ 9 / L, N0.90, L0.10. Cerebrospinal fluid: nucleated cells 0.5 × 10 ~ 9 / L, N0.85, L0.15, Pan (++), sugar 2.78mmol, chloride 169mmol / L smear see G ~ - meningitis, diagnostic flow brain. To penicillin, chloramphenicol treatment. The next day consciousness clear. March 29 again coma transferred to the hospital. Physical examination: shallow coma, pupils and other large, the presence of light reflex, skew to the left skewed, neck resistance, Kirschner sign (+), Pakistan’s sign (-). Blood: WBC10 × 10 ° / L, N0.82, L0.18. Cerebrospinal fluid: colorless and transparent, nucleated cells 0.21x10 ~ 9 / L, N0.98, L0.02. Pan (卌), (?) <1.1mmol / L, chloride 166mmol / L, smear see acid-fast bacilli, to antibiotics and anti-tuberculosis drugs. March 30 sudden respiration of the heart stopped, died of rescue invalid.