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例1:某女,4岁6个月,于1984年6月20日中午食较多生黄瓜、冰棒等,21日上午出现频繁呕吐、轻度腹泻,连夜送来我院。体检:体温37℃,脉搏64次,血压120/70,意识清楚,精神萎糜,颈无抵抗,心肺正常,全腹无压痛。初诊为急性胃肠炎。给予补液,口服多酶片、胃复安等治疗。次日上午腹泻停止,但仍有呕吐。体验:颈稍有抵抗,颈胸距二指,克氏征(一),布氏征(一)。眼底检查:右眼视乳头边清,生理凹陷消失。腰椎穿刺:脑压210mmH_2O,脑脊液呈均匀血性,离心后上清液黄
Example 1: A woman, aged 4 years and 6 months, eats more cucumber and popsicles at noon on June 20, 1984. Frequent vomiting and mild diarrhea occur on the morning of the 21st and are delivered to our hospital overnight. Physical examination: body temperature 37 ℃, pulse 64, blood pressure 120/70, conscious, spiritual wilt, cervical non-resistance, normal heart and lungs, no tenderness in the whole abdomen. Newly diagnosed as acute gastroenteritis. Given rehydration, oral multi-enzyme tablets, metoclopramide and other treatment. The diarrhea stopped the next morning, but vomiting remained. Experience: a slight resistance to the neck, neck and neck from two fingers, Kirschner Sign (a), Brinell sign (a). Fundus examination: right eye papillae clear, physiological depression disappeared. Lumbar puncture: intracranial pressure 210mmH_2O, cerebrospinal fluid was even bloody, supernatant yellow after centrifugation