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病例:女,16岁。10天前受凉后头痛,近4日呕吐、尿少、口渴、纳差,于1992年5月4日入院。查体:T37.5,P120,R20,BP12/SkPa,精神萎靡,脱水貌,咽部充血,心肺肝脾正常,神经系统无阳性体征。WBC 18.1×10~9/L,N 0.80,L 0.20,Hb 150g/L,X线胸片正常。拟诊上感,重度脱水,脑炎待排。给予10％葡萄糖2500ml快速补液,洁霉素等抗炎,病员逐渐昏迷,高热(T39℃)。入院后12小时血糖90.4mmol/L,血钾3.6mmol/L,钠122mmol/L,氯117mmol/L,二氧化碳结合力16.4mmol/L,
Case: Female, 16 years old. 10 days ago after a cold headache, nearly 4 vomiting, oliguria, thirst, anorexia, on May 4, 1992 admission. Physical examination: T37.5, P120, R20, BP12 / SkPa, apathetic, dehydrated appearance, throat congestion, normal heart and lung liver and spleen, nervous system no positive signs. WBC 18.1 × 10 ~ 9 / L, N 0.80, L 0.20, Hb 150g / L, X-ray normal. The proposed diagnosis, severe dehydration, encephalitis to be discharged. Give 10% glucose 2500ml rapid rehydration, lincomycin and other anti-inflammatory, the patient gradually coma, high fever (T39 ℃). Glucose 90.4mmol / L, potassium 3.6mmol / L, sodium 122mmol / L, chlorine 117mmol / L, carbon dioxide binding capacity 16.4mmol / L 12 hours after admission,