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【病历摘要】男性,8个月,因发热后,嗜睡呕吐4天,抽搐1天入院。现病史:患儿入院前1周无明显诱因发热,体温38～39.5℃,院外按“上感”给予青霉素肌注3天(量不详),体温降至正常,但4天来患儿出现精神萎靡、嗜睡并发生呕吐,呈喷射性,为胃内容物,每日3～5次。入院前1天,患儿发现抽搐,抽时双眼上吊,四肢发紧,每次约2分钟可自行缓解,抽后入睡,先后共6次,即来我院急诊,以“化脓性脑膜炎”收入院。患儿病后无咳嗽、腹泻等症状,无外伤史,无特殊用药史。
[Summary] Male, 8 months, due to fever, lethargy and vomiting for 4 days, convulsions 1 day admission. History of illness: 1 week before admission, no obvious incentive for fever, temperature 38 ~ 39.5 ℃, the hospital by the “sense” to penicillin intramuscular injection for 3 days (an unknown amount), body temperature dropped to normal, but the spirit of 4 days to children Sluggish, lethargy and vomiting, was sprayed, stomach content, 3 to 5 times a day. One day before admission, children with convulsions were found to have convulsions. When they were exhausted, their eyes were hanged and their limbs were tightened. Each time about 2 minutes, they could relieve themselves. After they fell asleep, they went to sleep six times in succession and came to our emergency department to “purulent meningitis” Income homes. Children without cough, cough, diarrhea and other symptoms, no history of trauma, no special medication history.