论文部分内容阅读
患女,31岁。1993年9月19日以“发热头痛视物模糊2周”之主诉入院。2周前不慎跌倒头部着地后,出现发热、头痛、视物不清。头痛呈持续性,初以两颞部为甚,后呈全头痛,伴恶心呕吐,吐出为胃内容物。两眼出现重影。发热在37～38.4℃之间,无寒战、咳嗽、咯痰、腹痛、腹泻、心慌、气短及小便不适等。门诊以“病毒性脑炎”收住。入院时体检:T37.7℃,P88次/min,R18次/min,BP15/9kPa。神志清楚,精神差,全身皮肤无黄染及皮疹。双眼球运动自如,两眼视物不清,有复视,巩膜无黄染。咽无充血,扁桃体无肿大。颈项强直,心肺腹部无阳性体征。克氏征及布氏征均为阳性。其余部位无病理性发现。
Female, 31 years old. September 19, 1993 to “fever headache blurred vision for 2 weeks,” the main complaint was admitted. 2 weeks ago, accidentally fell head and landed, fever, headache, blurred vision. Headache was persistent, early in the two temporal regions, followed by a full headache, with nausea and vomiting, spit out the contents of the stomach. Ghost in both eyes. Fever 37 ~ 38.4 ℃, no chills, cough, expectoration, abdominal pain, diarrhea, palpitation, shortness of breath and urinary discomfort. Clinic to “viral encephalitis” to receive. Physical examination on admission: T37.7 ℃, P88 times / min, R18 times / min, BP15 / 9kPa. Conscious, poor spirits, body skin without yellow dye and rash. Eyes ease of movement, two eyes blurred vision, diplopia, sclera no yellow dye. Pharyngeal without congestion, tonsil no swelling. Neck stiffness, no positive signs of cardiopulmonary abdomen. Kirschner Sign and Briggs sign are positive. The remaining parts of no pathological findings.