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患者女性,14岁,学生。因昏睡不醒4天,发热2天入院。4天前在考试复习中自感上腹部不适,未引起注意,晚间入眠至次日仍未醒,午间呕吐胃内容物一次,吐后继续入睡,呼之睁眼,但不说活,也不能理解别人的语言。下午出现高热(39～40℃),无呕吐、腹泻、抽搐。给予降温、抗炎等对症处理,体温降至正常。第3天神志开始转清,但胡言乱语,答非所问,幻觉,烦躁不安,肌注7mg安定入睡至次日中午,神志清楚,答语切题,但对近期事不能回忆。3小
Patient female, 14 years old, student. Sleepless for 4 days, fever 2 days admitted. 4 days ago in the exam review self-inductance upper abdominal discomfort, did not pay attention to sleep at night until the next day did not wake up, midday vomit stomach contents once vomit, continue to sleep, call the eyes open, but do not say live, can not understand Other people’s language High fever in the afternoon (39 ~ 40 ℃), no vomiting, diarrhea, convulsions. To give cold, anti-inflammatory symptomatic treatment, body temperature dropped to normal. Day 3 consciousness began to clear, but nonsense, non-questioning, hallucinations, irritability, intramuscular injection of 7mg stable sleep until noon the next day, clear-cut, answer the question, but can not recall the recent events. 3 small