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病历摘要:患儿,男,12岁,因持续发热,头病月余伴恶心呕吐于1986年4月7日入院。月余前曾在外地行先天性眼睑下垂矫形术,术后第二天即头痛,精神差、第五天加重且伴有发热;伤口无感染,以后高热达40℃,呕吐频繁。出生时曾接种卡介苗(BCG)。在当地医院腰穿检查脑脊液,WBC33个/mm~3,糖及氯化物正常。诊断为病毒性脑膜炎,经降颅压及氨苄青霉索、青霉素、丁胺卡那霉素治疗6天无效。再次腰穿疑诊结核性脑膜
Medical records summary: children, male, 12 years old, due to persistent fever, headache, accompanied by nausea and vomiting on April 7, 1986 admission. Months before I had congenital eyelid ptosis in the field, the second day after the headache, poor spirit, the fifth day of aggravating and accompanied by fever; wound no infection, high fever up to 40 ℃, frequent vomiting. Bacillus calmette-guerin (BCG) was vaccinated at birth. In the local hospital to check cerebrospinal fluid, WBC33 / mm ~ 3, sugar and chloride normal. Diagnosis of viral meningitis, reduced intracranial pressure and ampicillin cable, penicillin, amikacin treatment for 6 days is invalid. Waist through the suspected diagnosis of tuberculous meningitis again