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患儿男,12岁,于1991年2月21日起不明原因发热,纳差,在当地医院用多种抗生素治疗体温不退,发热一周后出现皮肤巩膜黄染,尿色深黄,查肝功能异常诊断急性黄疸型肝炎经保肝退黄治疗后仍热不退,体温波动在38℃～39℃,热型不规则,查血肥达反应、血培养、骨髓徐片、脑脊液常规、胸片均正常。加用激素治疗后体温下降继之出现频繁抽风,昏睡,失语,大小便失禁,经止痉脱水治疗后抽风停止转入我院。病前无肝炎接触史,查体:昏睡状,神志恍惚,失语,燥动,皮肤粘膜无黄染,
Children aged 12 years old, on February 21, 1991 unexplained fever, anorexia, in a local hospital with a variety of antibiotics body temperature without retreat, a week after the skin sclera yellow dye, urine dark yellow, check the liver Abnormal diagnosis of acute jaundice hepatitis after treatment of liver with yellowing still hot, body temperature fluctuations in the 38 ℃ ~ 39 ℃, irregular heat-type, check blood fat up reaction, blood culture, bone marrow Xu cerebrospinal fluid routine, chest The films are normal. After the addition of hormonal therapy, body temperature decreased followed by frequent ventilation, drowsiness, aphasia, incontinence, after antispasmodic dehydration therapy to stop breathing into our hospital. Pre-absence of hepatitis history of exposure, physical examination: sleepy, trance, aphasia, dryness, skin and mucosa without yellow dye,