患者:女性,26岁,1988年10月2日入院,入院前10天患有感冒、发烧、咽痛、流涕、周身不适,逐渐出现神志模糊,说胡话,问话不回答,哭、笑、喊、叫,并有呕吐,以非脑收入院。既往健康。查体:体温38.0℃,血压16/11KPa,浅昏迷,压眶有反应,四肢可动,双侧瞳孔等大同圆,光反射存在,眼底正常,双上肢屈曲,双下肢强直,腱反射亢进,双侧 Mayer、Leris 反射消失,双侧 Babinski’s 征(+),尿失禁,实验室检查,血、尿生化均正常,腰穿脑脊液压力130mmH_2o,细胞数5×10~6/L,潘氏反应(-),蛋白定量0.35g/L,糖定量2.5mmol/L,氯化物105mmol/L。入院第二天做头颅CT,结果未见异常,脑电图因躁动未做。治疗经过:入院后病情逐渐加重,血压不稳, Patients: Female, 26 years old, admitted to hospital on October 2, 1988, 10 days prior to admission suffering from a cold, fever, sore throat, runny nose and general discomfort, gradually vague, nonsense, questioning, crying and laughing , Shouting, calling, and vomiting, to non-brain income hospital. Past health. Physical examination: body temperature 38.0 ℃, blood pressure 16 / 11KPa, shallow coma, orbital reaction, extremities moveable, bilateral pupil and other Datong circle, light reflection exists, fundus normal, upper limb flexion, double lower extremity ankylosis, tendon hyperreflexia, Bilateral Mayer, Leris reflex disappeared, bilateral Babinski’s sign (+), urinary incontinence, laboratory tests, blood and urine biochemistry were normal, lumbar puncture cerebrospinal fluid pressure 130mmH_2o, cell number 5 × 10 ~ 6 / L, -), protein quantitation 0.35g / L, sugar content 2.5mmol / L, chloride 105mmol / L. On the second day of admission, skull CT was performed. No abnormality was found. EEG was not done due to restlessness. After treatment: the condition gradually aggravated after admission, unstable blood pressure,