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病历患者女性,53岁,农民。因进行性头痛、发呆、话少、懒动20余天,于1986年5月23日入院。病前有上感发热史,既往体健。入院后查体:神志清楚,体温37.1℃脉搏84次/分,血压118/82mmHg,心肺末见异常。神经系统及精神检查:精神委靡,目光呆滞,情感冷漠,反应迟钝,近事遗忘,计算力差,定向障碍。颈硬可疑,双瞳孔等大,对光反射存在,双眼底正常。四肢肌力、肌张力对称,未引出锥体半征。实验室检查:血、尿常规正常,腰椎穿刺脑脊液压力220mmH_2O,细胞计数0个/mm~3,蛋白
Patient patient, 53 years old, farmer. Due to progressive headache, trance, words less, lazy for more than 20 days, on May 23, 1986 admission. Premorbid sense of fever history, previous physical health. After admission, physical examination: Consciousness, body temperature 37.1 ℃ pulse 84 beats / min, blood pressure 118 / 82mmHg, cardiorespiratory abnormalities. Nervous system and mental examination: mental exhaustion, glazed eyes, apathy, unresponsive, recent forgetting, poor calculation, orienteering. Stiff neck suspicious, double pupil and so on, the presence of light reflexes, both eyes normal. Limb muscle strength, muscle tone symmetry, did not lead to cones semi-levy. Laboratory tests: blood, urine routine normal, lumbar puncture cerebrospinal fluid pressure 220mmH_2O, cell count 0 / mm ~ 3, protein