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例1:男,70天。主因三天来发热,皮肤有出血点并抽搐两次住院。体检:T36.5,P156,R52。发育营养好,易激惹,皮肤可见出血点及瘀斑。前囟张力高。瞳孔等大等圆,光反应存在。颈有抵抗,心肺腹正常。巴氏征(+)。脑脊液外观混浊,WBC4.3×10_9/L,NO.90.L0.10;蛋白2.5g/L,糖0.83mmol/L,氯化物116mmol/L。入院诊断:化脓性脑膜炎。即给氯霉素、氨基苄青霉素、激素等,治疗21天症状消失,脑脊液除糖定量为1.99mmol/L外,余均正常。此时,改为每日仅肌注青霉素80万单位,于第6日体温升至38℃,拟诊合并上感,对症治疗3天无效,继则抽搐频繁发作。复查脑脊液除压力高和氯化物为
Example 1: Male, 70 days. The main cause of fever for three days, the skin bleeding and twitching twice hospitalized. Physical examination: T36.5, P156, R52. Development of good nutrition, irritability, bleeding spots and ecchymosis visible on the skin. Anterior high bile tension. Pupil and other big round, light reaction exists. Neck resistance, normal heart and lung abdomen. Pakistan’s sign (+). The appearance of cerebrospinal fluid was cloudy, WBC4.3 × 10_9 / L, NO.90.L0.10; protein 2.5g / L, sugar 0.83mmol / L, chloride 116mmol / L. Admission diagnosis: purulent meningitis. That is to give chloramphenicol, ampicillin, hormones, etc., the symptoms disappeared 21 days after treatment, the cerebrospinal fluid glucose in addition to quantitative 1.99mmol / L, the remaining were normal. At this point, instead of only daily milks of penicillin 800,000 units, on the 6th day body temperature rose to 38 ℃, the proposed merger on the flu, symptomatic treatment for 3 days is invalid, followed by convulsions frequent attacks. Review of cerebrospinal fluid in addition to high pressure and chloride