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病历摘要患者,女性,46岁,农民,住院号185192。于1982年12月25日开始头痛,继而发热38℃左右。次日出现意识模糊,胡言乱语,27日去公社医院就诊。当时检查意识不清,颈有抵抗,左侧克氏征(+),脑脊液清,潘氏试验(+),白细胞26,糖40mg/dl。拟诊“病毒性脑炎”,住院给予激素、氯霉素治疗。28日意识转清,体温正常。1983年1月3日停止输液,不久又出现头痛、呕吐,并再次意识不清。体温39℃左右,颈强,左侧克氏征(+),右上肢肌力差。1月6日复查脑脊液色微黄,潘氏试验(++),白细胞78。
Patient history, female, 46 years old, farmer, hospital number 185192. On December 25, 1982 began a headache, followed by fever about 38 ℃. The next day there was confusion, nonsense, on the 27th to the commune hospital. At that time, check the consciousness, neck resistance, left Kirschner sign (+), cerebrospinal fluid clear, Pan’s test (+), leukocytes 26, sugar 40mg / dl. To be diagnosed “viral encephalitis”, hospitalized to give hormones, chloramphenicol treatment. 28 awareness to clear, normal body temperature. Infusions were stopped on January 3, 1983, and headache, vomiting soon followed, again becoming unconscious. Body temperature about 39 ℃, neck strength, left Kirschner sign (+), right upper limb muscle strength difference. January 6 review of cerebrospinal fluid color yellow, Pan’s test (++), white blood cells 78.