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患者男,13岁。头痛3天,意识障碍1天伴间歇性抽搐4次入院。体检:神志不清,面色苍白,双侧瞳孔直径约1.5mm,对光反射迟钝。颈软,四肢张力增高,巴氏征(±),克氏征(-)。白细胞计数:20.1×109/L,中性:0.8。脑脊液常规及细菌培养均未见异常。咽拭子甲型H1N1流感病毒核酸检测(+),C-反应蛋白(CRP)57.21mg/l。
Patient male, 13 years old. 3 days headache, disturbance of consciousness 1 day with intermittent convulsions 4 admission. Physical examination: unconscious, pale, bilateral pupil diameter of about 1.5mm, slow light reflex. Neck soft, increased limbs tension, Pakistan sign (±), Kirschner sign (-). White blood cell count: 20.1 × 109 / L, neutral: 0.8. Cerebrospinal fluid routine and bacterial culture were normal. Throat swabs influenza A (H1N1) virus nucleic acid (+), C-reactive protein (CRP) 57.21mg / l.