患儿,男,9岁。因发热、腹痛6天,抽搐、呕吐2天,昏迷1天,于1983年7月5日急诊入院。入院前曾在当地卫生院先后用青霉素、链霉素、红霉素及氢化考的松治疗,病情日益加重而来院。体检:体温36.5℃,呼吸24次/分,血压110/70mmHg。发育营养中等,神志不清,两侧瞳孔等大,光反应存在。前 Children, male, 9 years old. Due to fever, abdominal pain for 6 days, convulsions, vomiting for 2 days, coma for 1 day, on July 5, 1983 emergency admission. Prior to admission in the local hospitals have penicillin, streptomycin, erythromycin and hydrocortisone treatment, the condition is worsening and come to hospital. Physical examination: body temperature 36.5 ℃, breathing 24 times / min, blood pressure 110 / 70mmHg. Moderately developed nutrition, confusion, pupil on both sides of large, light response exists. before