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患者,女,17岁。因发热,头痛,呕吐,全身酸痛4天,伴左眼视物不清于1988年3月21日入院。患者发热一天后全身皮肤出现散在瘀点瘀斑,左眼视物模糊不清,并逐渐加重,未经治疗。入院体检:体温38.6℃,脉搏106次/分,呼吸24次/分,血压14.6/10.6kPa。急性病容,神志恍惚,躁动。全身皮肤可见散在瘀点瘀斑。颈项强直,两肺呼吸音清,克氏征(+),布氏征(+)。眼科检查:左眼光感,左睫状充血,角膜混浊水肿,丁道尔氏征(+),光反应迟钝,瞳孔2.5mm,虹膜纹理欠清,1％阿托品扩瞳后
Patient, female, 17 years old. Due to fever, headache, vomiting, body aches 4 days, with left eye vision unclear in March 21, 1988 admission. A day after the patient’s fever appeared scattered throughout the body petechia ecchymosis, left eye blurred vision, and gradually increased, untreated. Admission medical examination: body temperature 38.6 ℃, pulse 106 beats / min, breathing 24 beats / min, blood pressure 14.6 / 10.6kPa. Acute illness, trance, agitation. Whole body skin scattered petechiae petechiae. Neck stiffness, breath sounds clear lungs, Kirschner Sign (+), Brinell sign (+). Eye examination: left eye light perception, left ciliary congestion, corneal opacity, Dowther’s sign (+), photopic reaction, pupil 2.5mm, iris texture is not clear, 1% atropine dilated