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患者男,33岁,于80年9月25日因剧烈头痛伴频繁呕吐十余天,“不省人事”三天入院。患者十余天前饮酒后,便觉头痛,初时尚能忍受,无发冷发烧。三、四天后头痛转剧,伴恶心呕吐,呈喷射性,每天数次,均为胃内容物。当地医院查脑脊液压力高,白细胞60~76个,单核占80~90泮氏试验(一),以“病毒性脑炎”收治无效而转来我院。患者呈急性痛苦病容,神志尚清。内科一般检查无阳性发现。神经系统:颅神经:(一)眼底;双侧视乳头呈早期水肿征。四肢运动无受限,肌张力正常。深浅感
Male, 33 years old, was vomited frequently for more than ten days on September 25, 1980 due to severe headache. “Unconsciousness” was admitted to hospital for three days. Patients drinking more than ten days ago, they feel headache, early fashion can endure, no chills and fever. Three or four days after the headache drama, with nausea and vomiting, was sprayable, several times a day, are stomach contents. Local hospital check cerebrospinal fluid pressure, white blood cells 60 to 76, mononuclear accounting for 80 to 90 Pan’s test (a), to “viral encephalitis” invalid and transferred to our hospital. Patients were suffering from acute pain, consciousness still clear. General medical examination found no positive. Nervous system: cranial nerves: (a) fundus; bilateral papillae showed early edema. Extremities exercise is not limited, normal muscle tone. Sense of depth