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患者,男,22岁,于1993年11月29日入院。病人于1993年6月2日心绪不佳而饮酒后头痛,发烧,T39℃。6月9日晨双眼视物不清,当晚5时突然四肢强直性抽搐,以后昏迷,持续高热,四肢强直,当地医院行腰穿及脑CT检查未见异常,按“散发性脑炎”给予激素等抢救治疗,于6月16日意识转清,但四肢仍有时强直性抽搐,四肢活动不灵,失语,6月22日复查腰穿及脑CT仍未见异常。病后28d能认识家人,但不能说话,饮水呛咳,能用手式表达是否有尿,但排尿费力。11月26日做头MRI发现桥脑中央T_2加权高信号而转入本院。查体:T36.5℃,P94次/min,BP20/13kPa,R16次/min,满月脸,向心性肥胖,心肺正常。神经系统检查:意识清楚,
The patient, male, 22 years old, was admitted on November 29, 1993. Patients in June 2, 1993 bad mood and headache after drinking alcohol, fever, T39 ℃. On the morning of June 9, his eyes were unclear. His sudden limbs were twitch with convulsions at 5 o’clock that evening. After that, he became unconscious and continued to have a fever. His limbs were stiff and straight. Local hospital lumbar puncture and brain CT examination showed no abnormality. According to “encephalitis” Hormones and other rescue treatment, consciousness was cleared on June 16, but there are still sometimes limbs tonic convulsions, limb movement is not working, aphasia, June 22 review of lumbar puncture and CT still no abnormalities. 28d after illness can recognize family members, but can not speak, drinking cough, can use hand to express whether there is urine, but urination laborious. November 26 to do the first MRI to find the central pontine T2 weighted high signal into the hospital. Examination: T36.5 ℃, P94 times / min, BP20 / 13kPa, R16 times / min, full moon face, central obesity, normal heart and lung. Nervous system examination: Consciousness,