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患者女,13岁,头痛不适一天,伴呕吐数次。于突然昏迷,口吐大量白色泡沫痰约20分钟后急诊入院。体检:体温37.5℃,脉搏190次,呼吸58次,血压不能测出。深昏迷状,口唇发绀,口鼻冒出大量白色泡沫状液体,双瞳孔1 mm 大小,睑结膜未见出血点,颈无明显抵抗。心率190次,律齐无杂音,腹部无特殊,病理性神经反射未引出。实验室检查:白细胞13,400,中性90％,淋巴10％,二氧化碳结合力30Vol％,NPN57mg％,CSF:蛋白50mg％,白细胞190个,中性85％,淋巴15％,糖50mg％,涂片找到革兰氏阴性双球菌,培养有脑膜炎双球菌生长。双眼底动脉高度痉挛,视网膜反光增
Female patient, 13 years old, headache discomfort one day, with vomiting several times. In a sudden coma, vomit a lot of white foam phlegm about 20 minutes after emergency admission. Physical examination: body temperature 37.5 ℃, pulse 190 times, breathing 58 times, blood pressure can not be measured. Deep coma, cyanotic lips, mouth and nose emerge a large number of white foamy liquid, double pupil 1 mm size, palpebral conjunctiva no bleeding, neck no significant resistance. Heart rate 190 times, law Qi no noise, no special abdomen, pathological reflex did not lead. Laboratory tests: white blood cells 13,400, neutral 90%, lymphatic 10%, carbon dioxide binding 30Vol%, NPN 57mg%, CSF: protein 50mg%, leukocytes 190, neutral 85%, lymphatic 15%, sugar 50mg% Found Gram-negative bacteria, cultured with meningococcus growth. Double fundus artery spasm, increased retinal reflex