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朱××女24岁,农民。右眼眶周围皮肤及上、下眼睑皮肤发生疖肿8天,伴有畏冷、发烧、昏迷1天急诊住院。患者住院前,在当地曾间断肌注青霉素86万单位3支。住院检查:患者呈昏迷状态,阵发性抽搐,伴有大小便失禁。体温40.3℃,血压100/80mmHg,心率150次/分,呼吸54次/分,颈项强,左上下肢瘫。右眼上下睑明显肿胀、淤血、上丁睑眶缘处皮肤有多个疖肿,未破溃无脓点。右眼球高度突出,角膜暴露,瞳孔中度散大,对光反射消失。眼底检查:除静脉充盈外,其它无明显改
Zhu × × female 24 years old, farmers. The right eye orbital skin and upper and lower eyelid skin boil eight days, accompanied by chills, fever, coma 1 day emergency hospitalization. Before hospitalization, there were 3,660,000 penicillin units in the area. Inpatient examination: the patient was unconscious, paroxysmal convulsions, accompanied by incontinence. Body temperature 40.3 ℃, blood pressure 100/80 mmHg, heart rate 150 beats / min, breathing 54 beats / min, neck strong, left upper limb paralysis. Right and left upper and lower eyelid was significantly swollen, congestion, upper bilobar orbital margin of the skin with multiple swollen, no rupture no suppurative point. Highly prominent right eyeball, corneal exposure, moderate pupil dilated, light reflex disappeared. Fundus examination: In addition to filling the vein, the other no significant change