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男 ,14岁 ,学生。以头痛、大汗 6日加重 3日 ,高热、惊厥、昏迷 1日入院。体格检查 :体温 4 0 7℃ ,血压 15 5 /10 7kPa,急性病容 ,浅昏迷状 ,额部大量出汗 ,颈强直 ,心、肺无异常 ,肝、脾不大 ,凯尔尼格征 (kerningsign)阴性 ,巴宾斯基氏征 (Babinskisign)双侧阳性 ,眼底正
Male, 14 years old, student. To headache, sweating on the 6th increased 3, fever, convulsions, coma on the 1st admission. Physical examination: body temperature 4 0 7 ℃, blood pressure 15 5 / 107kPa, acute sickness, shallow coma, large amount of sweat in frontal, neck stiffness, heart, lung no abnormalities, liver, spleen is not large, kerningsign negative, Babinskiis sign (Babinskisign) bilateral positive, fundus