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患者项×男61岁农民住院号39906发热、寒颤7天,语言不清、嗜睡3天。于1987年6月24日以败血症、化脓性脑膜炎收内科治疗。7天前,左足趾被铁犁划破,两天后伤口红肿、化脓,并出现高热、寒颤。在当地医院静脉滴用抗生素,未见好转,并出现神志模糊、嗜睡等症状转来我院。T38℃、R24次/分、P80次/分、BP13.3/8.0KPa。神志模糊,嗜睡,能闻鼾声,语言不清。双眼睑高度肿胀,结膜高度充血。左足趾有一长2cm 伤口,表面有脓性分泌物。颈项强直,巴氏征阳性,双侧膝反射未
Patient Item × Male 61 years old peasant hospital number 39906 fever, chills 7 days, unclear language, lethargy for 3 days. On June 24, 1987 to sepsis, purulent meningitis received medical treatment. Seven days ago, the left toe was scratched by a plow. After two days, the wound became swollen, purulent, and hot and shivering. In the local hospital intravenous antibiotics, did not improve, and appear ambiguous, lethargy and other symptoms transferred to our hospital. T38 ℃, R24 times / min, P80 / min, BP13.3 / 8.0KPa. Ambiguity, drowsiness, snoring, unclear language. High eyelid swelling, conjunctival hyperemia. Left toe has a long 2cm wound, the surface of purulent secretions. Neck stiffness, Pap’s sign positive, both knee reflex