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1 病例报告 患儿,女,11岁。因两侧腮腺肿痛1周发热伴头痛,呕吐1天于1999年4月22日入院。体检:T39℃,急性病容,自动体动,皮肤巩膜无黄染,两瞳孔等大等同,颈抗,心肺正常,腹平软,肝脾未及,克氏征(+),布氏征(+)。实验室检查血常规 wbc27.2×l0~9/L,N87％,L13％。脑脊液常规+生化,压力较高,无色微浊。潘氏(+)、wbc970×l0~6/L、N66％、L34％,糖2.75mmol/L,氯化物120mmol/L。诊断为流行性腮腺炎并发脑膜脑炎。给予脱水降颅压、抗炎、抗病毒处理。于入院第2
1 case report children, female, 11 years old. Due to parotid gland swelling on both sides of 1 week fever with headache, vomiting one day in April 22, 1999 admission. Physical examination: T39 ℃, acute disease, automatic body movement, skin sclera no yellow dye, two pupils and other large equivalent, cervical resistance, normal heart and lungs, abdominal soft, liver and spleen not yet, +). Laboratory tests blood routine wbc27.2 × l0 ~ 9 / L, N87%, L13%. Cerebrospinal fluid routine + biochemical, high pressure, colorless and turbid. Panax (+), wbc970 × l0 ~ 6 / L, N66%, L34%, sugar 2.75mmol / L, chloride 120mmol / L. Diagnosis of mumps complicated by meningoencephalitis. Give dehydration reduce intracranial pressure, anti-inflammatory, anti-viral treatment. At admission 2