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病历摘要张×,男,10岁,住院号:19418。病史:患儿呕吐、发热十余日,未抽搐亦无头痛,在当地卫生院诊为上呼吸道感染,口服消炎剂及肌注青、链霉素,病情未见好转。近一周来呕吐加重,为胃内容物,非喷射性。逐渐精神萎靡不振,嗜睡,到某县医院诊断为结核性脑膜炎,抗结核治疗不见好转。来本院门诊经脑脊液常规检查及血像化验疑诊为病毒性脑膜脑炎收入病房。患儿足月第一胎,既往身体健康,否认结核及传染病接触史。父母同胞均健在。体格检查:体温37℃,脉搏82次/分,呼吸20次/分,血压90/70毫米汞柱。发育中等,营养
Medical records summary Zhang X, male, 10 years old, hospital number: 19418. History: Children with vomiting, fever for more than 10 days, no convulsions and no headaches, diagnosed as upper respiratory tract infections in local hospitals, oral anti-inflammatory agents and intramuscular injection of streptomycin, streptomycin, the condition has not improved. Vomiting worsened in the past week. It was gastric contents and non-jetted. Gradually, the spirit was sluggish, drowsiness, and it was diagnosed as tuberculous meningitis in a county hospital. Anti-tuberculosis treatment did not improve. To the outpatient clinic of this hospital, the routine examination of the cerebrospinal fluid and blood tests were suspected to be the viral meningoencephalitis income ward. The child has a full-term first-term child and has previously had good health, denying tuberculosis and exposure to infectious diseases. Both parents are alive. Physical examination: body temperature 37°C, pulse 82 beats/minute, breathing 20 breaths/minute, blood pressure 90/70 mm Hg. Medium development, nutrition