病例报告张某某,男,44岁,工人。因发热,头痛3月余,1985年3月7日入院。患者3个月前因右下腹疼痛,当地医院诊为“急性阑尾炎”,在腰麻下行阑尾切除术。1期愈合。术后第8天出现发热(38.8℃),伴剧烈头痛,考虑为腰麻后反应,遂给予鞘内注射地塞米忪5mg及对症处理,上述症状稍有缓解。20天后再次头痛加剧,低热,且 Case report Zhang Moumou, male, 44 years old, worker. Due to fever, headache more than 3 months, March 7, 1985 admission. The patient was painful at the right lower quadrant 3 months ago and the local hospital was diagnosed as “acute appendicitis” with appendectomy on the lower back. 1 heal. After the first 8 days of fever (38.8 ℃), with severe headache, consider the response after spinal anesthesia, then given intrathecal dexamethasone 5mg and symptomatic treatment, the symptoms slightly relieved. 20 days after the headache intensified again, fever, and