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患者,8岁,女性。因发热、头痛、呕吐1天,昏迷10小时,抽搐3次,于1983年2月7日入院。入院时体温40.2℃,脉搏160次,呼吸44次,血压120/80,急性热病容,中度昏迷,全身皮肤散在瘀点、瘀斑,双瞳孔等圆、等大,约0.3cm,对光反应减弱。颈硬,心律齐、两肺呼吸音清晰,呼吸织率料次,规则。腹、躯干、四肢未见异常。克、。派氏征阳性。血白细胞20800,中性86呱.诊断为暴发性流脑(脑膜脑炎型)。立即用青霉来。每天20万u/kg‘分4次静脉滴注;20呱甘游醉2川kg/次,每4一6小时缓设睁注一冲。R“一夕辊攻lm./kg‘以后。分别在15、
Patient, 8 years old, female. Due to fever, headache, vomiting 1 day, 10 hours of coma, convulsions 3 times, in February 7, 1983 admission. Admission 40.2 ℃ body temperature, pulse 160 times, breathing 44 times, blood pressure 120/80, acute fever, moderate coma, systemic skin scattered petechia, ecchymosis, double pupil and other round, and so on, about 0.3cm, light The reaction is weakened. Cervix hard, heart rate Qi, breath sounds clearly in both lungs, respiratory rate expected material, rules. Abdomen, torso, limbs, no abnormalities. G Send Shi sign positive. 20800 of white blood cells, 86 of neutral.Is diagnosed as fulminant meningitis (meningoencephalitis type). Penicillium immediately. Every day 20 million u / kg ’points 4 times intravenous drip; 20 Gangan drunk 2 Sichuan kg / time, every 4 to 6 hours ease set open a note. R "one night roll attack lm./kg ’after 15 respectively,