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患者女,17岁。因畏寒、发热、颜面红肿于1986年9月5日入院。患者入院前2月鼻部出现一小疖肿,多次挤压。5天后寒颤、高热,体温在39℃左右,持续不退;且出现颜面红肿,两眼睑睁不开。在某院就诊,服用中药,症状缓解,停药后一周症状又加重,出现持续性头痛;频繁恶心、呕吐,呈喷射状;持续性高热;复视、头颈运动受限。体检:体温38.6℃呼吸24次,脉搏120次,血压96/60。神志清楚,发育正常,消瘦。下颌及颈部可触及数个肿大淋巴结,颜面红肿,右眼球凸出,瞳孔
Female patient, 17 years old. Due to chills, fever, facial swelling in September 5, 1986 admission. Patients admitted to the hospital in February before the nose appeared a small boil, repeatedly squeezed. 5 days after shivering, fever, body temperature at about 39 ℃, sustained retreat; and appear facial swelling, both eyes open. In a hospital for treatment, taking traditional Chinese medicine, symptoms, symptoms a week after discontinuation of symptoms, persistent headache; frequent nausea, vomiting, jet; persistent fever; diplopia, head and neck movement is limited. Physical examination: body temperature 38.6 ℃ breathing 24 times, pulse 120 times, blood pressure 96/60. Conscious, normal development, weight loss. Jaw and neck can reach several swollen lymph nodes, facial swelling, right eye bulge, pupil