患者女性,72岁,以发热、头痛、呕吐3天入院。入院前3天受凉后出现发热,体温38C左右。有剧烈头痛,呈全脑胀痛,持续存在,无明显缓解期。伴有恶心,频繁呕吐,呕吐呈喷射性,呕吐物为胃内容。无意识障碍、复视、饮水呛咳、吞咽困难、肢体无力及抽搐、二便失禁等。既往有反复发作性右耳慢性中耳炎病史60年。入院查体:体温38.5C,颈强(+),颈部制动,克、布征(+),右耳外耳道有脓液流出。无其他神 Patient female, 72 years old, admitted to hospital with fever, headache and vomiting for 3 days. 3 days before admission, fever occurs after the cold, body temperature around 38C. Severe headache, was the whole brain pain, persistence, no significant remission. Accompanied by nausea, frequent vomiting, vomiting was spray, vomit for the stomach content. Unconsciousness, diplopia, cough in drinking water, difficulty swallowing, weakness and convulsions in the limbs, incontinence, etc. Past history of recurrent chronic otitis media with a history of 60 years. Admission examination: body temperature 38.5C, neck strong (+), cervical brakes, grams, cloth sign (+), right ear ear canal pus outflow. No other god