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患者女,75岁。因反复头痛、发热13d入院。病初有寒战、发热及咽痛,最高体温达38.2℃,头痛以前额持续性疼痛为主,伴纳差、恶心、呕吐,呈非喷射状。入院体格检查:神清,痛苦面容,双侧瞳孔等大、等圆,对光反射灵敏,颈稍有抵抗,心、肺未见异常,腹软,肝、脾未触及,病理反射阴性。实验室检查:血WBC 6.71×10~9/L,中性粒细胞5.2×10~9/L,嗜酸粒细胞0.02×10~9/L。脑脊液压力
Female patient, 75 years old. Due to repeated headache, fever 13d admission. Early chills, fever and sore throat, the highest body temperature of 38.2 ℃, headache with the former persistent pain, with anorexia, nausea, vomiting, was non-jet-like. Admission medical examination: God clear, painful face, bilateral pupils and other large, round, sensitive to light reflection, neck slightly resistant, no abnormal heart, lung, abdominal soft, liver, spleen not touched, pathological reflex negative. Laboratory tests: blood WBC 6.71 × 10 ~ 9 / L, neutrophils 5.2 × 10 ~ 9 / L, eosinophils 0.02 × 10 ~ 9 / L. Cerebrospinal fluid pressure