患儿男，3岁。高热，面红气粗，频繁呕 吐，神昏谵语，惊厥3次，舌红绛苔黄 干，脉弦有力。査体:颈抵抗（+）。腰 穿示脑脊液压力增高，外观混浊，白细 胞5 000X 106/L，多核0 . 85。应首先 考虑的诊断是

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