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患儿,女性、9岁。因发热、头痛6天入院。入院前半个月,右颌下患一小疖肿,自行挤脓后第5天,患儿突然畏寒发热伴头痛,经当地卫生院用青霉素、链霉素等治疗5天,患儿高热不退,伴右偏头痛剧烈。非喷射性呕吐2次。平日健康。体检:T38.6℃,P100次、R36次、BP100/60。发育营养中等,呈急性重病容,精神萎,皮肤,巩膜无黄染。瞳孔等大。心肺听诊(一)。腹软,肝肋下1cm、无压痛,脾(一)。脑膜刺激征(一)。病理反射未引出,余无殊。辅助检查:外周血Hb100g/L、RBC3.2×10~(12)/L、N90％、L8％、M2％。脑积液呈无色透明,潘氏试验(一),糖>2.7755mmol/L,白细胞2只。尿常规、血生化、肝功能均正常。胸透(一)。心电
Children, women, 9 years old. Due to fever, headache 6 days admission. Half a month before admission, the right mandibular gallbladder swollen, squeeze their own after the first 5 days, children with chills and fever suddenly headache, by the local hospitals with penicillin, streptomycin and other treatment for 5 days, high fever in children Back, accompanied by severe migraine headache. Non-jet vomiting 2 times. Weekday healthy. Physical examination: T38.6 ℃, P100 times, R36 times, BP100 / 60. Medium nutrition development, acute and serious illness, wilting spirit, skin, sclera without yellow dye. Pupil and other big. Cardiopulmonary auscultation (a). Abdominal soft, liver ribs 1cm, no tenderness, spleen (a). Meningeal irritation (a). Pathological reflex did not lead, I no special. Auxiliary examination: peripheral blood Hb100g / L, RBC3.2 × 10-12 / L, N90%, L8%, M2%. Hydrocephalus was colorless and transparent, Pan’s test (a), sugar> 2.7755mmol / L, 2 white blood cells. Urine, blood biochemistry, liver function are normal. Chest through (a). ECG