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男孩，8岁。高热、头痛伴呕吐、惊厥1天。患儿近1天突发高热，体温最高达39.3℃，伴畏寒、剧烈头痛。入院前呕吐3次，呈喷射性，呕吐物为胃内容物。发生惊厥一次，于2月1日急诊入院。查体：T39.1℃，P108次／分，R18次／分，BP90/60mmHg。神志欠清，烦躁不安。全身皮肤散在多数瘀点、瘀斑，浅表淋巴结未触及。双侧瞳孔等大等圆，对光反射存在，颈抵抗。双肺呼吸音清晰，未闻及干、湿啰音，心界不大，心率108次／分，律齐，各瓣膜区未闻及杂音。腹平软，无压痛及反跳痛，肝脾肋下未触及，肠鸣音4次／分，双下肢无水肿。克氏征阳性。实验室检查：血WBC20×10 9 /L，N0.90。腰穿：脑脊液压力280mmH 2 O，外观混浊，试验强阳性，有核细胞6000×10 6 ／L，多核88%；脑脊液涂片可见革兰阴性肾形双球菌；糖和氯化物明显降低。要求：根据以上病历摘要，请写出初步诊断及诊断依据、鉴别诊断、进一步检查与治疗原则。
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举一反三
【单选题】The following performance objective has been suggested for Jamair:Increase seat revenue per plane To which perspective of the balanced scorecard does this objective belong?
A.
Customer perspective
B.
Internal business perspective
C.
Innovation and learning perspective
D.
Financial perspective
【简答题】Which seat does Elsa prefer, the window or the aisle seat? 2. Did she just get on the train? 3. Why does she say “small world”? 4. What does Elsa’s husband do? And what did Grandpa do before he retire...
【简答题】勒诺特尔对东方造园产生影响,北京东郊的 ( )(圆明园的长春园)是在此影响下的产物。
【单选题】Which part does NOT belong to the “Passenger Seat”?
A.
footrest
B.
armrest
C.
seat pocket
D.
oven
【简答题】Which seat does the passenger prefer?A. Nine seats close to
each other. B. Nine seats far away from each other.
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