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我院于1987年春季,收治58例流行性脑脊髓膜炎(以下简称流脑),其中5例为血性脑脊液,现报告如下。病历摘要例1女,5岁。头痛伴频发喷射状呕吐,嗜睡3天,于1987年3月15日入院。体检:体温39℃,神萎,全身皮肤粘膜无瘀点。颈抵抗,心肺及腹部无异常。克氏征(+),布氏征(+)。白细胞31.5×10~9/L,中性80%,淋巴20%,腰穿为均匀新鲜血性脑脊液,久置不凝,涂片检查发现革兰氏阴性双球菌,按流脑治疗9天,痊愈出院。例2女,10岁。发热、头痛,嗜睡1天,呕吐8次,于1987年3月16日入院。体检:体温39~2℃嗜睡
Our hospital in the spring of 1987, admitted 58 cases of meningitis (hereinafter referred to as meningitis), of which 5 cases of bloody cerebrospinal fluid, are as follows. Case history 1 female, 5 years old. Headache with frequent jet-like vomiting, lethargy for 3 days, on March 15, 1987 admitted. Physical examination: body temperature 39 ℃, Shen Wei, systemic skin and mucous membrane without petechia. Neck resistance, no abnormal heart and lungs and abdomen. Kirschner Sign (+), Brinell’s sign (+). White blood cells 31.5 × 10 ~ 9 / L, 80% neutral, lymphatic 20%, waist wear uniform fresh bloody cerebrospinal fluid for a long time without coagulation, smear examination found Gram-negative bacteria, according to meningitis treatment for 9 days, recovered Discharged. Example 2 Female, 10 years old. Fever, headache, drowsiness 1 day, vomiting 8 times, on March 16, 1987 admitted. Physical examination: body temperature 39 ~ 2 ℃ lethargy