患者常××,男二十四岁,西安市人,干部。主诉发热、头痛、恶心、呕吐五天入院。于八一年四月初首次随地质队赴新疆新源县山区工作。五月十五日左右左腋下被“草蜱子”叮咬。当时即将草蜱子拔出涂以碘酒。五月二十五日,出现畏寒发热头痛,周身酸困不适,尚能坚持工作,五月三十日晨,突然出现寒战继之高热体温39.6℃,头痛剧烈呈炸裂样,倦怠、大汗,恶心呕吐数次,呈喷射状吐出胃内容物。遂急诊收入我院。患者平素身体健康,首次来疆工作,家族史无特殊。入院检查:神志清楚,精神萎靡,表情淡漠,步态蹒跚。左腋下隐约可见2mm×2mm大小之蜱咬痕迹。颈项强直,肌力稍弱。巴彬斯基氏征(+),高登氏征(+),夏道克氏征 Patients often × ×, male twenty-four years old, Xi’an city, cadres. Chief complaint fever, headache, nausea, vomiting five days admitted. In August 1981 for the first time with the geological team to Xinyuan County in Xinjiang mountain work. Around May 15 left armpit was “grass ticks” bites. At that time, grass ticks were about to be coated with iodine. On May 25, there was a headache with chills and fever and an overall sour and uncomfortable feeling. I was still able to persevere in my work. On the morning of May 30, a sudden chill ensued and a fever of 39.6 ° C resulted in severe headache with burst-like, burnout, sweating , Nausea and vomiting several times, was spray-like spit stomach contents. Then emergency department income in our hospital. Patients usually healthy, the first time to work in Xinjiang, family history no special. Admission check: Consciousness, apathetic, apathy, gait faltering. Left underarm faintly visible 2mm × 2mm size tick tick marks. Neck stiffness, weak muscle strength. Babinski’s sign (+), Gordon’s sign (+), Harcourt’s sign