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患者,女,44岁,住院号589。因发热、头疼、呕吐三天,昏迷一天,于1982年6月12日入院。体检:T37℃,P70次,R20次,BP80/50,神志不清,中度脱水,肤色正常。咽充血,颈有抵抗,心肺(-)。腹软,肝脾未触及,四肢及脊柱正常,克氏征(十)、布氏征(十)、巴氏征(+)。实验室及其他检查:WBC21500,N88％,L12％。BT3,CT1,BPC10.5万。肝功能正常.脑脊液:外观混浊,潘氏反应(++).细胞数8000,中性91%、淋巴9%、糖(一),涂片检查见革兰氏阴性双球菌。培养(一)。胸片:示支气管肺炎,头颅侧位摄片未提示异常。脑动脉造影(一),心电图:示窦性心动过速。
Patient, female, 44 years old, hospital number 589. Due to fever, headache, vomiting for three days, coma one day, on June 12, 1982 admission. Physical examination: T37 ℃, P70 times, R20 times, BP80 / 50, confusion, moderate dehydration, normal skin color. Throat congestion, neck resistance, cardiopulmonary (-). Abdominal soft, liver and spleen not touched, limbs and spine normal, Kirschner sign (ten), Brinell sign (ten), Pakistan’s sign (+). Laboratory and other tests: WBC21500, N88%, L12%. BT3, CT1, BPC10.5 million. Normal liver function. Cerebrospinal fluid: cloudy appearance, Pan’s reaction (++). Cell number 8000, neutral 91%, lymphatic 9%, sugar (a), smear test see Gram-negative diplococcus. Training (a). Chest X-ray: bronchial pneumonia, cranial lateral radiography did not prompt abnormalities. Cerebral arteriography (A), ECG: show sinus tachycardia.