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流行性脑脊髓膜炎(简称流脑)合并截瘫者,文献报导尚少,1976年我院曾收治一例,现报告如下:患者女,13岁,石家庄市郊区人,于76年4月15日入院。患者入院前三天自述头晕、身冷不适。次日高烧、呕吐、精神差,4月14日头痛剧烈、烦燥不安,即到某医院就诊,当时神志不清、面色发青、血压听不到,即按“感染性休克”抢救,血压升至90/70后,因疑似“流脑”转来我院。查体:急性重病容,半昏迷状态,呼吸表浅,躯干可见散在出血点,两瞳孔散大,对光反射迟纯(与用654-2有关),颈部抵抗,两肺呼吸音正常,心率140,节律整,心尖部可闻收缩期吹风样杂音,腹平软,肝脾未触及,胸、腰椎无畸型与压痛,克氏征(+),巴氏征(+);血白细胞21,500,中性95％。诊断暴发型流脑(败血症型)。
Epidemic cerebrospinal meningitis (referred to as meningitis) with paraplegia, the literature reported little less, in our hospital in 1976 had a case, the report is as follows: The patient female, 13 years old, Shijiazhuang suburbs, on April 15, 76 Admission. Patients dizziness, cold and uncomfortable three days before admission. The next day, high fever, vomiting, poor spirits, April 14 severe headache, irritability, that is, to a hospital for treatment, was unconscious, looking blue, blood pressure can not hear that press “septic shock” rescue, blood pressure After rising to 90/70, due to suspected “meningitis” to our hospital. Physical examination: acute serious illness, semi-coma, superficial breathing, scattered scattered bleeding in the torso, the two mydriasis, pure late light reflex (with 654-2), neck resistance, normal lung breath sounds, Heart rate 140, the rhythm of the whole, the apex can be heard systolic hair-like murmur, abdominal soft, liver and spleen not touched, chest, lumbar spondylolisthesis and tenderness, Kirschner sign (+), Pakistan’s sign , Neutral 95%. Diagnosis of fulminant meningitis (sepsis type).