论文部分内容阅读
患儿,男,2岁半。半月前双眼发红,腹泻3天,未做任何处理,好转,随后发烧3天,伴咳嗽,测体温最高达39.6℃,出现右臂频繁抽动2次,每次约5～10分钟。2天前患儿出现呕吐,呈非喷射状,尿少,门诊以上感、急性胃肠炎伴脱水、癫痫?收住院。给予抗感染、补液治疗,烧退后患儿仍间断头痛、呕吐、烦躁不安。查体:T37.5℃,P 75次/min,R 32次/min,W 12.5kg,精神萎糜,呼吸稍促,眼窝凹陷,口唇干燥。双肺(-),心率75次/min,律不齐,腹部(-),左上肢肌力Ⅲ°,双下肢肌力Ⅳ°,肌腱反射(++),双侧oppenheim(-),两侧chaddoch(+)。实验室检查:WBC21.0×10~9/L,L 21%,N 77%,Hb l20g/L。CT:两侧
Children, male, 2 years and a half. Half a month before his eyes redness, diarrhea for 3 days, without any treatment, improvement, then fever for 3 days, with cough, measured body temperature up to 39.6 ℃, appear right arm twitch 2 times, each about 5 to 10 minutes. 2 days ago, children with vomiting, non-jet-like, oliguria, out-patient feeling, acute gastroenteritis with dehydration, epilepsy? Given anti-infective, fluid treatment, burning children still intermittent after a headache, vomiting, irritability. Examination: T37.5 ℃, P 75 times / min, R 32 times / min, W 12.5kg, spiritual wilt, breath slightly, sunken eyes, lips dry. (-), bilateral lung (-), heart rate 75 beats / min, arrhythmia, abdomen (-), left upper extremity strength III °, lower extremity strength Ⅳ °, tendon reflex (++) Side chaddoch (+). Laboratory tests: WBC21.0 × 10 ~ 9 / L, L 21%, N 77%, Hb 120g / L. CT: Both sides