患者女,16岁。因左眼眉弓缘中段起一小疖肿。自行挤压后4小时,突然高烧,达40℃,剧烈头痛。注射普鲁卡因封闭止痛后。急来我院就诊。检查:患者昏迷,呼吸受限。左眼睑、球结膜高度水肿、潮红,并波及到右眼睑和双侧颌下,眼球突出,右4mm,左11mm,睑裂不能闭合,左眼球活动受限。颈强直,脑膜刺激症状明显。腰穿:脑压168mmHg,脑积液清亮。眼底:右眼正常,左 Female patient, 16 years old. Due to left eyebrow arch edge of the middle of a small swollen boil. 4 hours after squeezing itself, a sudden high fever, up to 40 ℃, severe headache. After injection of procaine closed pain relief. Urgent come to our hospital. Check: The patient coma, limited breathing. Left eyelid, conjunctival highly edema, flushing, and spread to the right eyelid and bilateral submandibular, prominent eye, the right 4mm, left 11mm, palpebral fissure can not be closed, restricted left eye activity. Neck stiffness, meningeal irritation symptoms. Waist wear: brain pressure 168mmHg, clear fluid. Fundus: Right eye is normal, left