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男,13岁,因头痛3天入院。3天前开始头痛,以前额痛明显,无发热、呕吐。体检:神清,表情呆滞,颈抵抗,两膝反射未引出,克氏征阳性,布氏征阳性,巴氏征阴性,余均正常。辅助检查:腰穿脑脊液蛋白++,细胞8×10~6/L,糖2.8mmol/L;血WBC 9.2×10~9/L,N 0.78,L 0.22,拟诊为病毒性脑炎住院,住院4天后自动出院。半月后,又因前额阵发痛4天,呕吐2
Male, 13 years old, admitted to hospital with a headache for 3 days. He had a headache 3 days earlier. He had a painful frontal pain and no fever or vomiting. Physical examination: Shen Qing, sluggish expression, neck resistance, no reflexes from both knees, positive Klinefelter’s sign, positive Brinell’s sign, negative Pap sign, normal all. Supplementary examination: Lumbar cerebrospinal fluid protein + +, cells 8 × 10 ~ 6 / L, sugar 2.8mmol / L; blood WBC 9.2 × 10 ~ 9 / L, N 0.78, L 0.22, was diagnosed with hospitalized viral encephalitis, 4 days after hospitalization, it will be discharged automatically. Half a month later, another 4 days due to pain in the forehead, vomiting 2