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患者刘×,女,62岁,家庭妇女,海丰县联安人,住院号5706。因发热、头痛、呕吐、嗜睡13天入院。起病前从海丰乘汽车到达乐昌县后发热、头痛、咳嗽、乏力、全身疫痛。在当地卫生所按感冒治疗6～7天,病情未见好转,仍有低热、头痛,并出现呕吐,嗜睡状态,遂入乐昌县人民医院住院治疗。初诊为结核性脑膜炎,经积极抗痨治疗7天,未见好转。家属要求回海丰县,于1973年5月22日转我科治疗。入院时体温37.3℃,脉搏78次/分,呼吸24次/分,血压90/70立方毫米。神疲嗜睡,呻吟、谵语、呈重病容,皮肤粘膜未见化脓病灶及皮疹,表浅淋巴结无肿大,两侧瞳孔缩小、等大,对光反射迟钝。颈有抵抗,心肺无特殊,腹不胀,肝大肋下1.5厘米,脾未扪及。血象:白细胞总数5,000,分类:中性细胞69%,淋巴细胞30%,单核细胞1%。脑脊液压力增高,外观透明无色,氯化物700毫克%,糖50毫克%,蛋白++,细胞数120/立方毫米,分类:中性细胞71%,淋巴29%。继续按结核性脑膜炎积极抗痨治
Patient Liu ×, female, 62 years old, home woman, Haifeng Lianan, hospital number 5706. Due to fever, headache, vomiting, lethargy 13 days admission. Before starting from Haifeng arrived in Lechang County by car fever, headache, cough, fatigue, systemic pain. In the local health clinic by cold treatment 6 to 7 days, the condition did not improve, there are still low fever, headache, and vomiting, lethargy state, then into the hospital for treatment of Lechang County People’s Hospital. Newly diagnosed as tuberculous meningitis, the positive anti-tuberculosis treatment for 7 days, no improvement. Family members required to return to Haifeng County, on May 22, 1973 turn my treatment. On admission, body temperature 37.3 ℃, pulse 78 beats / min, breathing 24 beats / min, blood pressure 90/70 cubic millimeters. Shenpi fatigue drowsiness, moaning, sufferer, was seriously ill, no mucocutaneous mucosa lesions and skin rashes, no swelling of the superficial lymph nodes, both sides of the pupil narrowing, and so on, the light reflex slow. Neck resistance, no special cardiopulmonary, abdominal distension, liver 1.5 cm ribs, palpable palpable. Blood: white blood cells total 5,000, classification: 69% of neutral cells, lymphocytes 30% monocytes 1%. Cerebrospinal fluid pressure increased, the appearance of transparent colorless, chloride 700 mg%, sugar 50 mg%, protein ++, the number of cells 120 / cubic millimeter, classification: 71% of neutral cells, lymphatic 29%. Continue to actively fight tuberculous meningitis