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1 病历摘要女性,12岁,学生.家住山东省日照市东港区农村,于1993年11月27日人院.患儿于人院前4月自觉全身乏力,每天下午发热,精神食欲不振,体力逐渐不支,未予诊治.1个月前某晨起床时说不出话,右侧肢体活动不灵,发热达40.5 ℃,但无头痛、呕吐.当地医院给予静脉注射甘露醇,口服强的松30mg/日,4天后体温降至37～38.5℃,右侧偏瘫稍有好转就自动出院.这次入院前2天高热持续不退,阵阵腹痛,嗜睡.既往体健,无明确结核接触史.体检:体温 37.8～40℃,脉搏92～108次/分,呼吸18～37次/分,血压 14.6/9.3kPa.发育一般,营养中等.浅表淋巴结未扪及,扁桃体I度大,咽轻微充血.
1 Resume Summary Female, 12 years old, living in a village in Donggang District, Rizhao City, Shandong Province, was admitted to hospital on November 27, 1993. The patient was mentally and physically weak in April before hospitalization and was feverish in the afternoon. His mental loss of appetite and physical strength Gradually disappeared, not diagnosed and treated .1 months ago one morning when unable to speak, unable to activate the right limbs, fever 40.5 ℃, but no headache, vomiting .A local hospital for intravenous mannitol, oral prednisone 30mg / day, 4 days after the body temperature dropped to 37 ~ 38.5 ℃, the right hemiplegia improved slightly automatically discharged .2 days before the admission of high fever continued flatulence, bursts of abdominal pain, lethargy. Past physical health, no clear contact history of tuberculosis Physical examination: body temperature 37.8 ~ 40 ℃, pulse 92 ~ 108 beats / min, respiration 18 ~ 37 beats / min, blood pressure 14.6 / 9.3kPa. Development of general, moderate nutrition. Superficial lymph nodes not palpable tonsil I degree, pharynx Slight congestion.