论文部分内容阅读
患者女性,31岁,于1965年7月30日入院。患者于入院前12天,自觉发热,体温早低晚高,精神食欲尚好,照常参加劳动,至第10天左右出现腹泻,经当地医院治疗好转。入院前半天,在家烧中饭时,突然跌倒地上,来回打滚,不会说话,右手有抽搐现象。入院时体温38℃,脉搏80次/分,呼吸20次/分,血压106/60毫米汞柱,神志清醒,不会说话,左眼睑裂缩小,两侧瞳孔等大,对光反应存在;口角稍向右偏斜,颈项柔软,两肺呼吸音正常,心脏正常。腹软,平坦,肝肿大至剑突下4.5厘米,右肋下3厘米,质软。脾未扪及。右侧肢体运动失灵,右上肢偶有障发性短时间的小抽搐。右膝反射较亢进,克匿格氏征阳性、巴彬基氏征阴性。
Patient Female, 31 years old, admitted to hospital on July 30, 1965. Patients in the 12 days before admission, consciously fever, body temperature early and late, mental appetite is still good, as usual to work, to the first 10 days of diarrhea, the local hospital improved. Half a day before admission, burning rice at home, suddenly fell to the ground, roll back and forth, can not speak, the right hand has convulsions. Admission when the body temperature 38 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 106/60 mm Hg, conscious, can not speak, left eye fissure small pupil on both sides of the big, the presence of light response; Slightly skewed to the right, soft neck, normal lung breath sounds, normal heart. Abdomen soft, flat, hepatomegaly to the xiphoid 4.5 cm, right rib 3 cm, soft. Spleen not palpable. Right limb movement failure, right upper quadrant occasionally short hair twitching. Hyperthyroidism on the right knee reflex, Kegulg positive sign, Papanicolaou negative sign.