论文部分内容阅读
梁某,女,6岁,儿童,剖检号401,因发烧、头痛4天,反复抽搐1天于1985年8月9日入院。查体:T38.3℃,P114次/分,全身皮肤无出血点及瘀斑,表浅淋巴结无肿大,两肺闻及痰鸣,无湿罗音,心脏无异常。浅昏迷,瞳孔等圆,光反射存在。四肢均有不自主活动,肌张力低,腱反射对称减弱,双侧夏道克氏征阳性,脑膜刺激征阴性。实验室检查:血白细胞18.5×10~9/L,中性82%,淋巴18%,脑脊液外观无色透明,细胞数60×10~6/L,单核>多核,蛋白0.44g/L,糖2.24mmol/L、氯化物
Liangmou, female, 6 years old, child, Section inspection number 401, due to fever, headache for 4 days, repeated convulsions 1 day admitted to hospital on August 9, Physical examination: T38.3 ℃, P114 times / min, systemic skin bleeding and ecchymosis, superficial lymph nodes without swelling, both lungs and phlegm, no wet rales, no abnormal heart. Shallow coma, pupils and other round, light reflection exists. All limbs involuntary movements, low muscle tone, systolic symmetry of the tendon weakened, bilateral Charcot-Marie syndrome positive, meningeal irritation-negative. Laboratory tests showed that the number of white blood cells was 18.5 × 10 ~ 9 / L, the neutrality was 82% and the lymph was 18%. The appearance of cerebrospinal fluid was colorless and transparent. The number of cells was 60 × 10 ~ 6 / L, Sugar 2.24mmol / L, chloride