论文部分内容阅读
女患,11岁。因发热伴头痛呕吐3天入院。入院前3天高热、畏寒、头痛、全身不适,进食后喷射状呕吐。体温39.8℃,脉搏146次/分,呼吸36次/分血压100/60mmHg。精神萎靡,咽略充血。白细胞11.8×10~9/L,N73%,L27%。入院第2天全身酸痛不适。以腰背部明显,颈强。当日下午频繁抽搐,继而失语,右鼻唇沟变浅,右肢痉挛性瘫痪。腱反射亢进,肌张力增强,双侧巴氏征阳性。二氧化碳结合力25.25mmol/L,钾4.8mmol/L,钠130mmol/L,氯105mmol/L,钙2.1mmol/L,心电图正常。脑脊液呈淡黄
Female suffering, 11 years old. Fever due to fever with headache 3 days admitted to hospital. 3 days before admission, fever, chills, headache, malaise, vomiting after injection. Body temperature 39.8 ℃, pulse 146 beats / min, breathing 36 times / min blood pressure 100 / 60mmHg. Apathetic, pharyngeal congestion. White blood cells 11.8 × 10 ~ 9 / L, N73%, L27%. The first day of admission, body aches and discomfort. To the back of the obvious, neck strong. Frequent convulsions the afternoon of the day, and then aphasia, right nasolabial furrow shallow, right spastic paralysis. Tendon hyperreflexia, increased muscle tone, positive bilateral Pap’s sign. Carbon dioxide binding power 25.25mmol / L, potassium 4.8mmol / L, sodium 130mmol / L, chlorine 105mmol / L, calcium 2.1mmol / L, normal ECG. Cerebrospinal fluid was yellow