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本文报导一例椎管内肿瘤破裂引起蛛网膜下腔出血(简SAH)引起疑似脑膜炎的脑脊液细胞增加及发热反应,起初按脑膜炎治疗无效,经脊髓腔造影确定为马尾肿瘤,术后脑膜刺激征与发热反应很快消失,病人痊愈.患者男性、29岁,在运动时突发下腰剧痛,双大腿力弱,数小时后出现项强,头痛,体温39℃.腰穿发现脑脊液压力290毫米水柱,WBC计数5,200/mm~3(80%为非典型白细胞),RBC计数4,500/mm~3,蛋白212毫克/dl,糖50毫克/dl.疑诊细菌性脑膜炎而予静滴青霉素钾盐及氨苄青霉素治疗,治疗无效,
This article reports a case of intracranial tumor rupture caused by subarachnoid hemorrhage (Simplified SAH) caused by increased cerebrospinal fluid cells and fever reaction of suspected meningitis, initially ineffective meningitis treatment, identified as a tail tumor by spinal angiography, postoperative meningeal irritation Symptoms and fever reaction soon disappeared, the patient recovered. The patient was male, 29 years old, sudden low back pain during exercise, weak double thighs, strong items after a few hours, headache, body temperature 39 °C. Lumbar puncture found cerebrospinal fluid pressure 290 Millimeter water column, WBC count 5,200/mm~3 (80% for atypical white blood cells), RBC count 4,500/mm~3, protein 212 mg/dl, sugar 50 mg/dl. Penicillin for the potential of bacterial meningitis Potassium salt and ampicillin treatment, treatment fails,