论文部分内容阅读
1985年我院一科收治新型隐球菌性脑膜炎并发视乳头水肿,继发视神经萎缩1例。现报告如下。李某,男,22岁。1985年1月渐起发热,体温38℃左右,头痛,喷射状呕吐,疑为结核性脑膜炎住某职工医院,治疗20余天,病情反而加重。2月21日脑脊液培养发现新型隐球菌,即改用二性霉素B静脉点滴、鞘内注射,脑膜炎症状有所缓解,但相继出现视物模糊、视力下降、大小便失禁,小腿麻木,不能站立等症状,于4月9日转入我院。入院检查:体温、脉搏、呼吸、血压、心肺均正常。体重46Kg。神志清,颈抵抗,下肢肌肉明显萎缩,不能站立。克氏征、布氏征、巴氏征阳性。血红蛋
In 1985 a hospital admitted to the new cryptococcal meningitis complicated with papilledema, secondary to optic atrophy in 1 case. The report is as follows. Lee, male, 22 years old. January 1985 gradual fever, body temperature around 38 ℃, headache, jet-like vomiting, suspected tuberculous meningitis live a staff hospital for more than 20 days of treatment, the condition worsened. February 21 cerebrospinal fluid culture found Cryptococcus neoformans, that is, to amphotericin B intravenous drip, intrathecal injection, meningitis symptoms have eased, but have blurred vision, decreased vision, incontinence, calf numbness, Can not stand and other symptoms, transferred to our hospital on April 9. Admission examination: body temperature, pulse, respiration, blood pressure, heart and lung are normal. Weight 46Kg. Conscious, neck resistance, lower limb muscle was significantly reduced, can not stand. Kirschner Sign, Brine’s sign, Pap’s sign positive. Hemoglobin