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患者男,4岁。不规则发热嗜睡伴呕吐2月,昏迷惊厥20天,于1980年12月23日入院。患儿2月前开始发热,偶吐,常嗜睡,脑膜刺激征阳性,查脑脊液示结脑改变,经抗痨治疗无效,近20天来,持续昏迷,频发惊厥,高热不退。患儿病前1月有多发性头面部疖肿,其父有肺结核八年,近期复发,其弟死于化脑。体检:体温不升,脉搏66次,呼吸12次,血压未测到。深昏迷,呼吸深慢,头面部多发性疖疤,额部
Patient male, 4 years old. Irregular fever, drowsiness with vomiting in February, coma convulsions 20 days, December 23, 1980 admission. Children with fever 2 months ago, even vomiting, drowsiness, meningeal irritation sign positive, check the cerebrospinal fluid showed changes in the brain, the anti-tuberculosis treatment ineffective, nearly 20 days, continued unconsciousness, frequent convulsions, high fever. Children with pre-illness in January have multiple head and face boil, his father has tuberculosis for eight years, the recent recurrence, his brother died of the brain. Physical examination: body temperature does not rise, pulse 66 times, breathing 12 times, blood pressure was not measured. Deep coma, slow breathing, multiple scalp head and face, forehead