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例1:男,25岁。因关节疼,每日服地塞米松2.25mg 40天。近20天发烧、头疼、喷射性呕吐而入院。T38℃,颈强(+)、克氏征(+)。胸部X光片见右肺上野大片阴影,密度较低,边不清;血沉中等值50mm,痰集菌(+)。腰椎穿刺:卧位脑压1.9kPa,脑脊液黄色、混浊、蛋白试验(+),细胞数3.50×10~8/L、L0.70,糖2.42mmol/L,氢化物104mmol/L,蜘蛛膜(+)。肥达反应(-)。血常规:WBC8.2×10~9/L、S0.58、L0.42。诊断:浸
Example 1: Male, 25 years old. Because of joint pain, dexamethasone 2.25mg daily for 40 days. Nearly 20 days fever, headache, jet vomiting and hospitalization. T38 ℃, neck strength (+), Kirschner sign (+). Chest X-ray see the shadow of the right lung large area, low density, unclear edge; ESR median 50mm, sputum bacteria (+). Lumbar puncture: supine supine intracranial pressure 1.9kPa, cerebrospinal fluid yellow, turbidity, protein test (+), cell number 3.50 × 10-8 / L, L0.70, sugar 2.42mmol / L, hydride 104mmol / ). Widal response (-). Blood: WBC8.2 × 10 ~ 9 / L, S0.58, L0.42. Diagnosis: dip