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病例男,10岁。患儿3个月来周身乏力,食欲低下,午后发热、盗汗。近3周头痛、恶心、呕吐;两天来头痛、呕吐加重,精神萎糜,排尿困难于1979年3月6日入我院。查体:体温37.2℃,脉搏80次/分,呼吸18次/分,血压110/80毫米汞柱。发育营养欠佳,意识清,精神不振。呼吸匀。瞳孔等圆,对光反射存在。颈强(+),克氏征(+)(双)、巴彬氏征(-)。腰椎穿刺:脑脊液毛玻璃样混浊,压力200毫米水柱,细胞数548,淋巴76％中性24％,潘狄氏反应(+),蛋白70毫克％,氯化物650毫克％,糖43毫克％,后前位胸X片:左肺门块状影。诊断:结核性脑膜炎(刺激期);肺门淋巴腺结核。
Case male, 10 years old. Children 3 months whole body fatigue, poor appetite, afternoon fever, night sweats. Headache, nausea and vomiting in the past three weeks; headache and vomiting in two days, mental wilt and dysuria in our hospital on March 6, 1979. Physical examination: body temperature 37.2 ℃, pulse 80 beats / min, breathing 18 beats / min, blood pressure 110/80 mm Hg. Poor nutrition, consciousness, lack of energy. Breathing evenly. Pupil and other round, there is light reflection. Neck strong (+), Kirschner sign (+) (double), Babin’s sign (-). Lumbar puncture: cerebrospinal fluid frosted glass opacity, pressure 200 mmHg, cell number 548, lymph 76% neutral 24%, Pandey’s reaction (+), protein 70 mg%, chloride 650 mg%, sugar 43 mg% X-ray front chest: left hilus massive shadow. Diagnosis: tuberculous meningitis (irritation); hilar lymph node tuberculosis.