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陶姓,女,6岁。1966年4月22日突然发热、畏寒,翌日热不退,下午3时开始间断地四肢抽搐,呼吸困难而来院急诊。体检:体温39.3℃(腋下),脉搏140次/分,呼吸38次/分,血压100/50毫米汞柱。神志不清,呼吸表浅,皮肤有散在瘀点,腹上部出现瘀斑,两侧瞳孔不等大(左侧0.6厘米,右侧0.4厘米)、对光反应迟钝,克氏征阳性,巴氏征阳性,诊断为暴发性流行性脑膜炎收入抢救病房。入院后,深度昏迷,抽搐频繁,呼吸异常表浅而不规则,颈有抗力,压眶试验不能诱发肢体运动,眼球上翻,四肢呈强直性痉挛,临床诊断为流行性脑膜炎并发急性脑水肿,伴呼吸衰竭早期表现。除给予抗菌素(青霉素、氯霉素)及呼吸兴奋剂(洛贝林、野靛碱等)外,立即予以25%山梨
Tao surname, female, 6 years old. April 22, 1966 Sudden fever, chills, fever the next day, intermittent limbs twitch at 3 pm, difficulty breathing and hospital emergency. Physical examination: body temperature 39.3 ℃ (armpit), pulse 140 beats / min, breathing 38 beats / min, blood pressure 100/50 mmHg. Unconscious, shallow breathing, skin scattered petechiae, ecchymosis on the belly, both sides of the pupil ranging from large (0.6 cm left and 0.4 cm right), slow response to light, Kirschner sign positive, pasteurized Positive sign, diagnosed with fulminant meningitis income rescue ward. After admission, deep coma, frequent convulsions, superficial breathing and irregular rules, neck resistance, orbital test can not induce limb movement, eye upturned, limbs were tonic spasms, clinical diagnosis of meningococcal meningitis complicated with acute cerebral edema , With early performance of respiratory failure. In addition to given antibiotics (penicillin, chloramphenicol) and respiratory stimulants (Lobeline, indocyanine, etc.), immediately to 25% Yamanashi