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1病例报告患者男,21岁。因反应迟钝、头晕加重伴烦躁、谵语1周入院。1周前因头晕、恶心,呕吐、伴轻度腹泻,外院诊断为急性胃肠炎,给予抗炎、对症治疗未见好转,且逐渐出现反应迟钝,烦躁、谵语。病程中无发热、盗汗、耳聋、耳鸣、视物旋转及四肢抽搐。入院后查体:血压120/70mmHg,双肺叩诊呈清音,听诊双肺呼吸音粗糙,未闻及干湿性啰音,心脏听诊无异常;神志清楚,烦躁不安;自知力、定向力、记忆力检查不合作,答非所问;双侧
1 case report Patient male, 21 years old. Due to unresponsive, aggravating dizziness with irritability, Suyu language 1 week admission. 1 week ago because of dizziness, nausea, vomiting, with mild diarrhea, outside the hospital diagnosed as acute gastroenteritis, given anti-inflammatory, symptomatic treatment did not improve, and the gradual emergence of unresponsive, irritable, shy language. During the course of fever, night sweats, deafness, tinnitus, visual rotation and limbs convulsions. After admission, physical examination: blood pressure 120 / 70mmHg, percussion was a clear voice of both lungs, auscultation of lung breath sounds rough, no smell and wet and dry rales, auscultation of the heart no abnormalities; Consciousness, restlessness; Memory check uncooperative, non-questioning; bilateral