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男性患者,27岁,以发热头痛二天,昏迷一小时为主诉收住院.当时患者神志不清,躁动不止,在脱水、降颅压之条件下行腰穿,脑脊液呈化脓性改变,涂片找到革兰氏阴性双球菌,确诊为“重症流脑(脑膜脑炎型)并脑水肿”.经抢救一天,躁动逐止,在吸氧下转送传染科治疗.既往体健,近期无流脑病人接触史,但常在外出差.查体:T36.7℃,P100 次/分,BP16/10kpa.昏迷态,吸氧下呼吸平稳,无发绀,颈前胸腹部及双腋部有散在大小不等之出血
Male patient, 27 years old, with fever headache for two days, coma for an hour mainly admitted to hospital when the patient unconsciousness, agitation more than dehydration, reducing intracranial pressure under the conditions of lumbar puncture, cerebrospinal fluid suppurative change, smear found leather Lan negative bacteria, was diagnosed as “severe meningitis (meningoencephalitis type) and cerebral edema.” After the rescue one day, restlessness, transfer of infectious diseases under the Department of Infectious Diseases treatment. Past physical health, recent meningitis Person contact history, but often on a business trip. Physical examination: T36.7 ℃, P100 beats / min, BP16 / 10kpa. Coma, breathing smoothly under oxygen, no cyanosis, cervical antrum abdomen and double axils are scattered size Such as bleeding