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患者男,68岁,农民.因头晕、发热伴头痛10天,于1989年8月26日入院.平素体健,当地有伤寒流行.体检:T40.5℃,P84次/分,R19次/分,BP14.7/6.1kPa.神志清楚,精神软弱,反应迟钝,无皮疹,颈部明显抵抗,心肺听诊无殊,肝牌未触及,克氏征阳性,巴氏征阴性.实验室检查:Hb71g/L,WBCT×10~9/L,N84%,L16%.SGPT66u,SGO T69u,CSF:蛋白+～++,WBC2.58×10~9L,N85%,L15%,糖半定量为0.56～1.1mmol/L,蛋白定量0.7g/L,氯化物167mmol/L,细菌未见.门诊拟诊发热待查,已用青霉素、洁霉素、庆大
Male, 68 years old, farmer.Due to dizziness, fever with headache for 10 days, admitted to hospital on August 26, 1989. Normal physical health, a local typhoid epidemic.Physiological examination: T40.5 ℃, P84 beats / min, R19 times / Points, BP14.7 / 6.1kPa. Consciousness, weakness, unresponsive, no rash, neck obvious resistance, no cardiopulmonary auscultation, liver card is not touched, Krypton sign positive, Pakistan sign negative. Laboratory tests: Hb71g / L, WBCT × 10-9 / L, N84%, L16% .SGPT66u, SGO T69u, CSF: protein + ~ ++, WBC2.58 × 10 ~ 9L, N85%, L15% ~ 1.1mmol / L, protein quantitation 0.7g / L, chloride 167mmol / L, bacteria no seen. Outpatient simulating fever to be checked, penicillin, lincomycin, Qingda