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患者,男,44岁。主因突发性头痛、呕吐、阵发性发作伴发烧7天入院。入院查体:体温37.7℃颈部有抵抗,腱反射(++),双侧 Babinski 氏征中性。眼底视神经乳头水肿。化验检查:血红蛋白13.3g/L,白细胞15×10~9/L,中性82%,淋巴18%。腰穿:脑脊液微混浊,压力625mmH_2O,总细胞1230,白细胞1002,分类:多核87%,单核。13%,蛋白138mg%,糖和氯化物正常,革蓝氏染色(-)。以化脓性脑膜炎收入内科,暂按结核性脑膜炎和流行性脑膜炎治疗。拍胸大片排除肺结核入院第3天行第2次腰穿:脑脊液无色透明,压力
Patient, male, 44 years old. Main due to sudden headache, vomiting, paroxysmal episodes with fever 7 days admission. Admission examination: body temperature 37.7 ℃ neck resistance, tendon reflexes (++), bilateral Babinski’s sign of neutrality. Ocular optic papilla edema. Laboratory tests: hemoglobin 13.3g / L, white blood cells 15 × 10 ~ 9 / L, 82% neutral, lymphatic 18%. Waist wear: cerebrospinal fluid micro-opacity, pressure 625mmH2O, total cell 1230, white blood cell 1002, classification: 87% multi-core, mononuclear. 13%, protein 138mg%, normal sugar and chloride, leather blue stain (-). With suppurative meningitis income medical, temporary treatment of tuberculous meningitis and meningitis. Patch chest large exclude tuberculosis admitted to the hospital on the 3rd line 2nd lumbar puncture: cerebrospinal fluid colorless, transparent, pressure