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徐某,女,3岁。1984年12月8日入院。20日前无明显诱因出现头痛、乏力、嗜睡、走路不稳。五天后发热,恶心呕吐,流涕。曾按感冒治疗症状稍好转。14日前曾从床上摔下,除碰破口唇外余无异常。近三日精神差,头痛、呕吐加重,呈喷射性,卧床不起,夜间盗汗,无抽搐。入院前一日鼻衄,量不多,时有短暂意识不清。在当地曾按结核性脑膜炎治疗过。五个月时患过肺炎,未接种过卡介苗。否认结核接触史。体检:体温36.7℃,脉搏120次,呼吸16次,体重14kg。发育正常,营养欠佳,
Xu, female, 3 years old. December 8, 1984 admission. 20 days ago no obvious incentive to headache, fatigue, lethargy, walking instability. Fever five days later, nausea and vomiting, runny nose. Symptoms have been slightly better treatment of colds. 14 days ago fell from the bed, in addition to touch the lips without exception. The spirit of the past three days, headache, vomiting, was spray, bedridden, night sweats, no convulsions. The day before admission epistaxis, a small amount, sometimes a short time unconscious. Tuberculous meningitis has been treated locally. Five months had pneumonia, not vaccinated BCG. Denied the history of tuberculosis exposure. Physical examination: body temperature 36.7 ℃, pulse 120 times, breathing 16 times, weight 14kg. Normal development, poor nutrition,