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临床讨论本例起病急剧,以畏寒、高热、头晕头痛、恶心呕吐而就诊。入卫生队后,病情续有进展,体温上升,皮肤、粘膜出血,流鼻血,全身不适,腰部酸痛,白细胞轻度增加,临床毒血症表现明显,加之正值冬季,原单位处在流行性脑脊髓膜炎疫区,因而,初步讨论分析认为“流行性脑脊髓膜炎”可能性较大,立即转院治疗。但经住院进一步检查观察,发现下面数点不支持诊断:1.无明显脑膜刺激征;2.脑脊液检查正常,培养阴性;
Clinical discussion This case onset is rapid, to chills, fever, dizziness, headache, nausea and vomiting and treatment. Into the health team, the disease continued to progress, temperature rise, skin, mucous membrane bleeding, nosebleeds, general malaise, waist soreness, mild increase in white blood cells, clinical manifestations of toxemia, combined with positive winter, the original unit in the epidemic Therefore, preliminary discussion and analysis suggest that “meningococcal meningitis” is more likely to be immediately referred for treatment. However, further examination and observation by the hospital found that the following points do not support the diagnosis: 1. No significant meningeal irritation; 2. Cerebrospinal fluid was normal, negative culture;