头痛,呕吐6日,神志不清10小时——临床病例讨论之十三

• 作 者: 何雅明 黄尧
• 机 构: 中山医学院传染病学教研组,中山医学院传染病学教研组 病理解剖学教研组,病理解剖学教研组
• 出 处: 神经精神疾病杂志
• 发表日期: 1979年01期
• 关键词: 神志不清 临床病例讨论 病毒性脑炎 非喷射性呕吐 腰穿脑脊液 静脉滴注 化验 室管膜瘤 侧脑室 摘要

病历摘要李×,女,22岁,未婚。家属代诉病史,可靠但欠详细。因头痛、呕吐6日,神志不清10小时于1976年8月21日急诊入院。入院前6日无明显诱因出现头痛、头晕,时伴非喷射性呕吐,为胃内容物,每日2～3次。曾在当地卫生院诊断为“病毒性脑炎”,据称腰穿脑脊液澄清,未作化验。肌注青、链霉素,静脉滴注氢化可的

Medical record Li ×, female, 22 years old, unmarried. Family history of medical complaints, reliable but not detailed. Due to a headache, vomiting on the 6th, unconsciousness 10 hours in August 21, 1976 emergency admission. 6 days before admission no obvious incentive to headache, dizziness, sometimes with non-jet vomiting, stomach contents, 2 or 3 times a day. He was diagnosed as “viral encephalitis” at a local health center and reportedly had cerebrospinal fluid clarified without testing. Intramuscular injection of streptomycin, intravenous infusion of hydrogenated