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程某,男,1岁半。1970年7月13日因发热三天,伴汗出、呕吐、抽搐、昏迷而在公社卫生院住院治疗。住院二天后,因病情恶化,患儿昏迷不醒,家长自认无救而抱回家中。适逢笔者调至该地协助工作,于7月16日应邀往诊。诊见患儿深度昏迷,面色苍白,眼闭拳握,口吐泡沫,四肢抽搐频繁,颈项强直,甚则角弓反张,二便失禁,体温由40.2℃下降至37℃,唇紫苔黄,指纹青紫。神经系统检查:克氏征(+),欧氏征(+),巴氏征(+),腱反射亢进,腹壁反射减弱。脑脊液检查:外观透明,白细胞612个,
Cheng Mou, male, 1 and a half years old. On July 13, 1970, he was hospitalized in a commune hospital for three days of fever, sweating, vomiting, convulsions, and coma. Two days after being hospitalized, the child was unconscious when she became ill due to a worsening condition. Coincidentally, the author transferred to the place to assist in the work and was invited to the clinic on July 16. He was diagnosed with deep coma, pale face, closed eyes, foamy mouth, frequent convulsions on his extremities, stiff neck, severe opisthotonus, incontinence, and a decrease in body temperature from 40.2°C to 37°C. , fingerprints purple. Nervous system examination: Kirschman’s sign (+), Euclidean sign (+), Pakistani sign (+), tendon hyperreflexia, weakened abdominal wall reflex. Cerebrospinal fluid examination: transparent appearance, 612 white blood cells,