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1 临床资料患者男,8岁,以头痛伴呕吐1周为主诉于1990年10月9日入院。平素易患上感。为提高其机体免疫力,于9天前肌注人体丙种球蛋白1支(320mg),2天后出现持续性头痛、烦躁,伴呕吐,每日1～4次,当地乡医院以“上感”治疗无效。病程中神志清,不伴发热及抽搐。无外伤史。体检:一般情况尚可。辅助检查:三常规、肝功能、血清钠、血清钾、氯、尿素氮正常;腰穿测脑压2.4kPa,脑脊液常规、生化及细胞学检查正常;颅脑CT正常。入院后给予甘露醇及氟美松等治疗,1～2小时后症状减轻,2天后症状消失。
1 Clinical data Male patient, 8 years old, headache with vomiting for 1 week as the chief complaint on October 9, 1990 admission. Usually susceptible to flu. In order to improve its immunity, intramuscular injection of human gamma globulin 1 (320mg) intramuscularly 9 days ago, sustained headache, irritability, vomiting 2 to 4 times a day, the local township hospital to “sense” Treatment is invalid. Conscious in the course of the disease, without fever and convulsions. No history of trauma. Physical examination: the general situation is acceptable. Auxiliary examination: three routine, liver function, serum sodium, serum potassium, chlorine, urea nitrogen normal; lumbar puncture measured intracranial pressure 2.4kPa, cerebrospinal fluid routine, biochemical and cytology examination; normal brain CT. After admission to give mannitol and dexamethasone and other treatment, 1 to 2 hours after the symptoms alleviate, 2 days after the symptoms disappear.