论文部分内容阅读
患者,女,14岁。因乏力、反复头昏1年,加重5 d,伴头痛2 d 于2004年11月16日入院。患者自觉乏力1年,无明显诱因出现头昏,休息后可缓解,一直未行诊治,上述症状进行性加重。5 d 前再次出现头昏,伴恶心、呕吐,无发热,无腹痛、腹泻。在外院查血常规、网织红细胞计数及骨髓穿刺,提示溶血性贫血。2 d 前患者出现头痛并进行性加重,体温39℃,意识模糊。体检除明显颈项强直外,无定位体征,双侧巴宾斯基征(+),疑中枢神经系统感染,急症行腰穿术,术中测脑脊液压力>350 mm H_2O(因压力过高而终止测量,故未能
Patient, female, 14 years old. Due to fatigue, dizziness, repeated 1 year, increased 5 d, with headache 2 d on November 16, 2004 admission. Patients with fatigue 1 year, no obvious incentive to dizziness, rest can ease, has not been diagnosed and treated, the above symptoms progressive increase. 5 days before dizziness again, with nausea, vomiting, no fever, no abdominal pain, diarrhea. Check the blood routine in the hospital, reticulocyte count and bone marrow puncture, suggesting hemolytic anemia. 2 days before the patient had headache and progressive exacerbations, body temperature 39 ℃, confusion. In addition to obvious neck stiffness, no localization signs, bilateral Babinski sign (+), suspected central nervous system infection, emergency lumbar surgery, intracranial cerebrospinal fluid pressure> 350 mm H 2 O (due to over-pressure termination Measurement, it failed