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患者女性,33岁,因抽搐发作入院,住院号37330。入院前1个月并发肺部感染,有头痛、失眠、烦躁不安、哭笑无常及神志恍惚。曾两次突发牙关紧闭、口吐白沫、咬破舌头、二便失禁、四肢抽搐伴昏迷,每次历时数分钟。患者于1980年3月确诊为系统性红斑狼疮,曾住院四次。本次入院时神志不清,压眶反射存在,颈稍抵抗。肝在右肋下3cm,质软边锐有压痛。双侧霍夫曼氏征(+),双侧巴氏征(+)。脑脊液压力正常,白细胞19/mm~3,糖48mg%,蛋白89mg%,氯700mg%。脑电图为广泛性轻度异常。头颅 CT 示脑实质密度一致,外侧裂、前纵裂、视交叉池及脑沟变宽加深,为皮质性脑萎缩的表现。
Female patient, 33 years old, hospitalized for convulsion, hospitalization 37330. One month before admission, pulmonary infection was complicated with headache, insomnia, irritability, dumbness and unconsciousness. Have two sudden teeth closed, foaming at the mouth, bite the tongue, two incontinence, limbs twitch with coma, each time a few minutes. The patient was diagnosed with systemic lupus erythematosus in March 1980 and was hospitalized four times. The admission unconscious, pressure orbital reflex exists, the neck a little resistance. Liver in the right rib 3cm, soft sharp sharp tenderness. Bilateral Huffman’s sign (+), bilateral Pakistan’s sign (+). Cerebrospinal fluid pressure is normal, white blood cells 19 / mm ~ 3, sugar 48mg%, protein 89mg%, chlorine 700mg%. EEG is a general mild abnormality. Head CT showed brain parenchyma density consistent, lateral fissure, anterior longitudinal split, the optic chiasm pool and furrows wider broadening, the performance of cortical atrophy.