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杨某,女,20岁。因高烧抽搐、神志不清2小时入院。患者中午在田间劳动时突然高烧抽搐昏迷伴呕吐数次,于7月22日下午2时以乙脑急诊入院。查体:T42℃,P92次/分,R24次/分,BP 14/10kPa。意识不清,皮肤粗糙,干燥无汗,右瞳孔直径5mm,等园,对光反射消失,左瞳孔直径2mm,等园,光反射存在,双眼底未见异常。颈软,四肢能活动,病理征未引出。血:白细胞24×10~9/L,淋巴10%,中性90%。脑脊液(一)。脑电图轻度弥散性异
Yang, female, 20 years old. Convulsions due to fever, confusion 2 hours admission. Patients at work in the field at noon when a sudden high fever convulsions coma with vomiting several times, at 22 o’clock on the July 22 to JE admission. Physical examination: T42 ℃, P92 beats / min, R24 beats / min, BP 14 / 10kPa. Consciousness, rough skin, dry and sweat-free, the right pupil diameter 5mm, garden, the disappearance of light reflection, the left pupil diameter 2mm, garden, light reflection exists, both eyes without exception. Neck soft, limbs can move, pathological levy did not lead. Blood: white blood cells 24 × 10 ~ 9 / L, lymph 10%, neutral 90%. Cerebrospinal fluid (a). EEG diffuse slightly different