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患者 女,16岁,学生,因低热、干咳7天,头痛、呕吐1小时于1992年8月2日入院。体查:T37.5℃,神志清,对答正常,皮肤粘膜无黄染及出血点,浅表淋巴结未触及,双侧瞳孔等圆等大,对光反射敏感,伸舌居中,咽稍充血,扁桃腺不大。颈抵抗,心肺(-),腹软,无压痛,肝脾肋下未触及,四肢肌力正常,克氏征(+),巴氏征(-)。血白细胞9.5×10~9/L,中性细胞0.63,淋巴细胞0.31,嗜酸细胞0.06,血红蛋白140g/L,血小板240×10~9/L。出凝血时间正常。尿蛋白(+),红细胞(+)。抗核抗体阴性。腰穿脊液为均匀血性,红细胞1.05×10~(12)/L,白细胞1.8×10~9/L,蛋白(+)。CT提示蛛网膜下腔少量出血。入院后给予脱水(20％甘露醇),止
Female patient, 16 years old, student, due to fever, dry cough 7 days, headache, vomiting 1 hour admitted on August 2, 1992. Physical examination: T37.5 ℃, clear consciousness, normal response, skin and mucosa without yellow dye and bleeding points, superficial lymph nodes not touched, bilateral pupil circle and other large, sensitive to light reflex, tongue middle, pharynx slightly hyperemia, Tonsils are not big. Neck resistance, cardiopulmonary (-), abdominal soft, no tenderness, liver and spleen ribs were not touched, normal muscle strength, Kirschner sign (+), Pakistan’s sign (-). 9.5 × 10 ~ 9 / L of white blood cells, 0.63 of neutral cells, 0.31 of lymphocytes, 0.06 of eosinophils, 140g / L of hemoglobin and 240 × 10 ~ 9 / L of platelets. Clotting time out of normal. Urine protein (+), red blood cells (+). Anti-nuclear antibody negative. Lumbar spinal fluid was evenly bloody, red blood cells 1.05 × 10 ~ (12) / L, white blood cells 1.8 × 10 ~ 9 / L, protein (+). CT prompts a small amount of subarachnoid hemorrhage. After admission give dehydration (20% mannitol), only