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患者5岁,泰国人,症状为严重头痛、高热、呕吐、昏睡。住院当天发生抽搐并进入昏迷。第2天转院,体检发现体重轻,意识障碍,苍白但对痛刺激及触觉有反应,偶有身体及四肢强直性痉挛。体温38.5℃,血压90/60mmHg、脉率120次/分,呼吸20次/分,颈项强直,但肌张力及深腱反射正常。实验室检查显示白细胞升至11,500/mm~3,多核96%,淋巴4%,腰穿显示脑压升高脑脊液白细胞数266/mm~3,多核94%,淋巴细胞6%,红细胞数800/mm~3,脑脊液糖2.5mg%,
Patient 5 years old, Thai, with severe headache, fever, vomiting and lethargy. Convulsions and unconsciousness occurred on the day of admission. The second day of transfer, physical examination found that light weight, disturbance of consciousness, pale but painful and tactile response, occasional physical and limbs tonic spasms. Body temperature 38.5 ℃, blood pressure 90 / 60mmHg, pulse rate 120 beats / min, breathing 20 beats / min, neck stiffness, but muscle tone and tendon reflexes normal. Laboratory tests showed that leukocytes rose to 11,500 / mm ~ 3, 96% of multinuclei and 4% of lymph nodes. Lumbar puncture showed an elevated intracranial pressure of 266 / mm ~ 3 in cerebrospinal fluid, 94% in multinuclei, 6% in lymphocytes and 800 / mm in erythrocytes ~ 3, cerebrospinal fluid sugar 2.5mg%