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病史摘要:女性,20岁。反复发作性右下腹痛伴恶心呕吐3年,加剧2天于1989年9月31日在腰麻下单纯阑尾切除术。术后第3天发热,头痛,呕吐,全身不适。体检,体温39℃,呼吸、脉搏及血压正常,急性病容,皮肤有散在出血点。心肺(-),肝脾未触及。双侧眼底视乳头明显水肿,余颅神经(-)。颈抵抗、克、布氏征(+)。病理反射未引出。感觉、运动、共济正常。血:WBC17.2×10~9/L,N70％,L26％,ESR40mm/h,粪,尿常规(-)。脑脊液外观浑浊,潘氏+++,细胞数4560个/μl,多核75％,单核25％,糖0～0.555mmol/L,氯化物98mmol/L,
History Summary: Female, 20 years old. Repeated episodes of right lower quadrant pain with nausea and vomiting 3 years, exacerbated 2 days in September 31, 1989 in the spinal anesthesia simple appendectomy. 3 days after the fever, headache, vomiting, general malaise. Physical examination, body temperature 39 ℃, breathing, pulse and normal blood pressure, acute disease, skin scattered bleeding point. Cardiopulmonary (-), liver and spleen not touched. Bilateral ocular fundus clear edema, more than cranial nerve (-). Neck resistance, grams, Brinell sign (+). Pathological reflex did not lead. Feel, exercise, and work together properly. Blood: WBC17.2 × 10 ~ 9 / L, N70%, L26%, ESR40mm / h, manure, urine routine (-). The appearance of cerebrospinal fluid was cloudy, PAN +++, cell number 4560 / μl, multi-core 75%, mononuclear 25%, sugar 0-0.555mmol / L, chloride 98mmol / L,