病历摘要病人女性,15岁,学生,中江县人。住院号:491037。因发热、头痛、呕吐14天、昏迷2天于1989年11月30日入院。入院前14天头痛、发热及频繁呕吐、吐出食物及胆汁,到当地医疗所就诊为“感冒”“胃肠炎”。口服西药治疗(药名不详)无效,转区级医院予以输液及静滴青霉素治疗3天,仍无效。又转县医院作腰穿,脑脊液压力增高(90滴/分)、细胞10个/mm~2,蛋白(+)、糖1.41mmol/L、氯化物114.5 Medical record Summary Female patient, 15 years old, student, Zhongjiang County. Hospital number: 491037. Due to fever, headache, vomiting for 14 days, coma 2 days in November 30, 1989 admission. 14 days before admission, headache, fever and frequent vomiting, spit food and bile, to the local medical clinic for the “cold” “gastroenteritis.” Oral Western medicine (unknown drug name) is invalid, turn to the district hospital for infusion and intravenous infusion of penicillin for 3 days, still ineffective. Went to the county hospital for lumbar puncture, elevated cerebrospinal fluid pressure (90 drops / min), cells 10 / mm ~ 2, protein (+), sugar 1.41mmol / L, chloride 114.5