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一、化脓性脑膜炎黄某,男,45岁,1977年5月30日入院。患者2天前发热(39.2℃)、恶寒、鼻塞、流涕、关节酸痛,自服银翘解毒丸无效,来门诊治疗。经注射复方安基比林针,口服APC后,发热暂退。翌日又出现高热(39.4℃)、口渴、剧烈头痛、呕吐、烦躁不安、胡言乱语、四肢抽搐等症状而急诊入院。体检:体温40℃,呼吸26次/分,脉博144次/分,血压110/70毫米汞柱。烦渴,头痛,呕吐,神志昏迷,颈项强直,双侧瞳
First, purulent meningitis Hwang, male, 45 years old, admitted to hospital on May 30, 1977. The patient had fever (39.2°C), chills, stuffy nose, runny nose, and joint pain 2 days before. He was treated with Yinqiao Jiedu Pill since his service was invalid. After injection of compound Angipirin, oral APC, fever temporarily retired. On the following day, high fever (39.4°C), thirst, severe headache, vomiting, irritability, nonsense, twitching of limbs and other symptoms occurred in the emergency room. Physical examination: body temperature 40°C, breathing 26 breaths/minute, pulse 144 beats/minute, blood pressure 110/70 mm Hg. Polydipsia, Headache, Vomiting, Delirium, Illness, Bilateral pupil