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例1,男,15岁。患者自1978年8月～1983年2月先后5次均因头痛,畏寒发热,喷射性呕吐在当地医院诊断为化脓性脑膜炎治愈。1983年3月在本院首次住院,当时体温37.5℃神志模糊,颈项抵抗感,克氏征(+)。脑脊液:灰白色,混浊,细胞数860/mm~3,P82%,L18%,蛋白53mg%,氯化物123mFp/L,糖39mg%。细菌培养:金葡菌。经用大剂量青、氯霉素治疗7天,脑脊液正常。32天后恢复出院。1984年9月8日本次入院时体温38℃,神志不清,颈项抵抗(+),克、布氏征(+)。实验室检查:WBC14.4×10~9/L,P93%,L7%,血小板7.6万/mm~3。追问病史,患者以往十多年间时有钝性头痛,以清晨或午后明显,平卧减轻。9月11日副鼻窦摄片示右侧额窦密
Example 1, male, 15 years old. Patient from August 1978 to February 1983 5 times successively due to headache, chills and fever, jet vomiting in the local hospital diagnosed as purulent meningitis cure. In March 1983 the first hospitalization in our hospital, when the body temperature 37.5 ℃ ambiguity, neck resistance, Kirschner symbol (+). Cerebrospinal fluid: gray, cloudy, cell number 860 / mm ~ 3, P82%, L18%, protein 53mg%, chloride 123mFp / L, sugar 39mg%. Bacterial culture: Staphylococcus aureus. After using large doses of chloramphenicol treatment for 7 days, cerebrospinal fluid is normal. Resumed discharge after 32 days. September 8, 1984 admission temperature of 38 ℃, unconsciousness, neck resistance (+), grams, Brinell sign (+). Laboratory tests: WBC14.4 × 10 ~ 9 / L, P93%, L7%, platelets 76000 / mm ~ 3. Asked history, patients in the past more than 10 years have blunt headaches, to clear in the early morning or afternoon, reduce supine. September 11 paranasal radiographs show the right frontal sinus