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病例报告董××,男性,44岁,山东历城县人,社員(牧羊),于1964年6月22日下午9时40分入院。主訴:发热、头痛三天,呕吐三次,神智不清三小时。现病史:患者于三天前无明显原因的开始发热、头暈、輕度头痛,有时发冷,无寒战、鼻塞、咳嗽、恶心呕吐,抽风等。发病后第二天去当地診所就医,印象“疟疾”,服药片治疗(药名及剂量不詳),未能奏效。今晨发热加重,伴有剧烈头痛,午后呕吐三次,非噴射性,吐物为水样液体,精神煩躁,不能进食。至晚七时許,开始神智不清,譫語,且呈陣发性躁动,有时头頸后仰,呼吸急促,去××医院就診,检查脑脊液結果为血性混浊,蛋白~(++++),紅血球~(++++),白血球3,200,多核89％,单核11％,糖10毫克％,氯化物600毫克％,印象“流行性脑脊髓膜炎”轉来我院。
Case Report Dong XX, male, 44 years old, member of Licheng County, Shandong Province (shepherd), was admitted to the hospital at 22:40 on June 22, 1964. Chief complaint: Fever, headache for three days, vomiting three times, delirious for three hours. Current history: The patient started fever, dizziness, mild headache, sometimes chills, chills, stuffy nose, cough, nausea and vomiting, aspiration, etc. for three days without obvious causes. The day after the onset of treatment to the local clinic for medical treatment, the impression of “malaria”, taking tablets treatment (drug name and dose unknown), failed to work. Fever increased this morning, accompanied by severe headache, vomiting three times in the afternoon, non-jet sex, spit the water-like liquid, irritability, can not eat. To seven o’clock in the evening, began to be confused, slander, and was paroxysmal agitation, and sometimes head and neck back, shortness of breath, go to × × Hospital, check the cerebrospinal fluid results bloody turbidity, protein ~ (++++) , Erythrocytes ~ (++++), white blood cells 3,200, multi-core 89%, mononuclear 11%, sugar 10 mg%, chloride 600 mg%, impression “epidemic cerebrospinal meningitis” transferred to our hospital.