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在生活中或防治小儿佝缕病过程中,由于过量摄入鱼肝油引起维生素A中毒者日渐增多。为了提高对本病的认识,现将我院儿科近年来遇到3例误诊误治病例报告如下。病例摘要例1:男,1岁1个日。母乳加牛乳喂养。因食欲减退、哭闹、用手打头部2月余,于1983年2月20日入院。近2月来患儿经常哭闹,转头及活动肢体时尤甚,且伴低热,夜泣、烦躁不安。体检:神萎,烦躁,周身皮肤光亮,面部与四肢轻度浮肿,头发稀少,双颞部局限性隆起。颈活动受限。心肺无异常。肝助下1.5cm,脾未触及。四肢活动受限,伴触握痛。神经系统检查无异常,实验室检查:血红蛋白110g/L,白细胞12.4×10~9/L,中性60％,淋巴4O％。血钙2.5μmol/L,磷
In life or prevent children tachycardia process, due to excessive intake of cod liver oil caused by vitamin A poisoning increased. In order to improve the understanding of the disease, now in our hospital pediatric patients encountered misdiagnosis and treatment of 3 cases in recent years are as follows. Case Summary Example 1: Male, 1 year old and 1 day. Breast milk plus milk. Due to loss of appetite, crying, the head hit by hand more than two months, in February 20, 1983 admission. In the past two months, children often cry, turn around and move the limbs especially, and with fever, night sobs, restlessness. Physical examination: Shen Wei, irritability, bright skin around the body, face and limbs mild edema, hair sparse, double temporal limitations uplift. Neck activity is limited. No abnormal heart and lung. Liver help 1.5cm, spleen not touched. Extremity activity is limited, with contact pain. Nervous system examination no abnormalities, laboratory tests: hemoglobin 110g / L, leukocytes 12.4 × 10 ~ 9 / L, 60% neutral, lymph 4O%. Blood calcium 2.5μmol / L, phosphorus