患者男性,27岁,主因发烧,头痛恶心呕吐五天由外院急诊转入。查体,T37℃,R18次/分,P60次/分,BP10.4/6.5kPa。痛苦面容,头颅五官正常,神志呈嗜睡状,颈项僵直,右侧胸廓塌陷,正中严重前凸畸形。双肺呼吸音清晰,未闻及干湿性罗音及胸膜摩擦音,心尖搏动位于左锁骨中线外1cm,无震颤,心界稍向左扩大,心率60次/ Male patient, 27 years old, mainly due to fever, headache, nausea and vomiting transferred from the hospital emergency room. Physical examination, T37 ℃, R18 times / min, P60 beats / min, BP10.4 / 6.5kPa. Pain face, facial features normal head, consciousness was drowsy, stiff neck, right thoracic collapse, median serious deformity. Clear lung breath sounds, unheard-of and wet rales and pleural friction sound, apical beats in the left clavicular midline 1cm, no tremor, the heart slightly expanded left heart rate 60 times /