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在流行性乙型脑炎的流行季节,为了正确地诊断和治疗,鉴别诊断是很重要的。特举1例报告于下,并进行讨论。病历摘要患儿某,5岁,北京人,住本市东郊区。因头痛、发热二天多,抽风一次后昏迷,于1959年8月27日急诊入院。患儿于8月25日早晨开始头痛,未见发热。至中午头痛加重,并呕吐一次,下午仍照常玩耍。晚间8时,又诉头痛,并发热。次日上午除继续发热外,精神不振、嗜睡、下午发生谵妄,神志不清,二眼上翻,口角及四肢持续性抽动历一小时。此时曾去某医院急诊,经注射链霉素0.4克,皮质激素25毫克,并输液,给予镇静剂后抽风停止。在该院曾作腰椎穿刺,脑脊液白血球276/立方毫米,中性球占54%,淋巴球占46%,蛋白
In the popular season of Japanese encephalitis, differential diagnosis is important for proper diagnosis and treatment. A special report in the following, and to discuss. Medical records A child, 5 years old, Beijing, live in the eastern suburbs of the city. Due to a headache, fever more than two days, a coma after ventilation, in August 27, 1959 emergency admission. The patient started a headache on the morning of August 25 with no fever. To a noon headache aggravate, and vomit once, afternoon still play. 8 o’clock in the evening, also complained of headache, and fever. On the morning of the next day, apart from continuing fever, she was sluggish and drowsified. She experienced delirium in the afternoon, her unconsciousness, her turn of the eyes up, her mouth angle and the continuous twitching of her extremities for one hour. Have to go to a hospital emergency at this time, after injection of streptomycin 0.4 g, 25 mg of corticosteroids, and infusion, to stop the ventilation after sedatives. In the hospital for lumbar puncture, cerebrospinal fluid leukocyte 276 / mm3, 54% of the neutral ball, lymphocytes accounted for 46%, protein