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宋××男性 22岁农民住院号B38100 1981年5月中旬因发热,头痛,恶心、呕吐,畏光在某医院经腰穿诊为结核性脑膜炎,于6月21日入院。查体:T 37.5℃,P 72次、R18次、BP114/70mmHg。重病容、消瘦、神清。皮肤粘膜正常,瞳孔园形等大,对光反应存在,颈强,心肺、肝脾、四肢与脊柱正常、膝反射正常。克匿格氏征阳性,其他病理征未查出。实验室检查:WBC10900,N82％,L13％,E3％,尿常规(一),肝功转氨酶正常,痰未找到抗酸菌。脑脊液检查:外观微混,压力200mm水柱,细胞480,N30％,N70％,潘氏反应阳性,蛋白280mg/dl,糖20mg/dl,氯化物595mg/dl,蛛网膜阳性。胸片未见异常。临床诊断:结核性脑膜炎。给与每日1NH0.6EMB1gRFP0.45、联合治疗三个月病情明显好转,但病人双手拇、食指出现对称性红肿(呈红褐色),表皮破裂。红肿与健康皮肤界限清楚红肿部位及双手背部皮肤明显粗糙变硬,病人同时伴
Song XX male 22-year-old farmer Inpatient number B38100 In mid-May 1981 due to fever, headache, nausea, vomiting, photophobia in a hospital by the waist through the diagnosis of tuberculous meningitis, admitted on June 21. Examination: T 37.5 ℃, P 72 times, R18 times, BP114 / 70mmHg. Seriously ill, thin, clear. Mucocutaneous normal, pupil circular park and other large, light response exists, neck strong, heart and lung, liver and spleen, limbs and spine normal, knee reflex normal. Gram-positive sign, other pathological signs not detected. Laboratory tests: WBC10900, N82%, L13%, E3%, urine routine (A), liver function normal aminotransferase, sputum can not find acid-fast bacteria. Cerebrospinal fluid examination: the appearance of micro-mixed, pressure 200mm water column, cells 480, N30%, N70%, Pan’s reaction positive, protein 280mg / dl, sugar 20mg / dl, chloride 595mg / dl, arachnoid positive. No abnormal chest X-ray. Clinical diagnosis: tuberculous meningitis. Given daily 1NH0.6EMB1gRFP0.45, combined treatment of three months condition was significantly improved, but the patient’s hands and thumb, index finger symmetrical redness (reddish brown), epidermal rupture. Red and swollen and clear boundaries of the skin Clear and swollen parts of the hands and back of the skin was significantly rough and hard, the patient at the same time with