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患者 女性,23岁,于1986年6月26日足月顺产一男婴,按当地旧俗“做月子”,当时天气较热,门窗紧闭。10天后出现高热,呕吐数次,继之昏迷,尿便失禁,并抽搐一次。查体:T41℃,BP12.3/6.67KPa(92/50mmHg)。深昏迷,气促、皮肤灼热无汗。心肺正常。两侧瞳孔等大等园,对光反应迟钝,眼球结膜水肿。四肢肌张力增高,未引出病理反射。颈项抵抗,Kernig征(一)。血白细胞14.2×10~9/L,中性81％,淋巴19％;
Female patient, 23 years old, had a full-term delivery of a baby boy on June 26, 1986, according to the local custom of “doing the month.” The weather was hot and the doors and windows closed. After 10 days of high fever, vomiting several times, followed by coma, urinary incontinence, and convulsions once. Examination: T41 ℃, BP12.3 / 6.67KPa (92 / 50mmHg). Deep coma, shortness of breath, skin burning without sweat. Cardiopulmonary normal. On both sides of the pupil and other large park, slow reaction to light, conjunctival edema. Limb muscle tension increased, did not lead to pathological reflex. Neck resistance, Kernig’s sign (a). Blood leukocytes 14.2 × 10 ~ 9 / L, neutral 81%, lymphatic 19%;