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刘××,女性,8岁,阵发性四肢疼痛10天,加重3天就诊。疼痛部位广泛,以双上肢、双下肢疼痛为主,偶有胸部、上腹部疼痛。痛为刺痛,与活动无关,痛时哭叫,难以忍受,持续时间短,1~2分钟即缓解。缓解后出现头晕、嗜睡、面部麻木,短暂睡眠后一切如常。每日发作次数不定,约8~10次。既往无类似发作病史,无头部外伤史,无癫痫家族史。查体:神清,精神佳,发育营养良好,心肺正常,腹软,肝脾未触及。四肢肌张力正常,神经系统检查阴性。化验检查:周围血白细胞6.2×10~9/L,N56%,L44%。尿常规、大便常规正常。ASL—0500单位以下。心电图示:窦性心律。脑电图示:中度痌样放电,过度换气(HV)三分钟观察,进行50秒时出现高波幅
Liu × ×, female, 8 years old, paroxysmal limb pain for 10 days, aggravating three days of treatment. A wide range of pain, with double upper limbs, lower extremity pain, occasional chest, upper abdominal pain. Pain is tingling, has nothing to do with the activity, crying pain, unbearable, short duration, 1 to 2 minutes to ease. After remission, dizziness, drowsiness, facial numbness, everything after the brief sleep. The number of attacks per day uncertain, about 8 to 10 times. No past history of a similar attack, no history of head trauma, no family history of epilepsy. Physical examination: God clear, good spirit, good nutrition and development, normal heart and lung, abdominal soft, liver and spleen not touched. Limb muscle tension normal, negative neurological examination. Laboratory tests: peripheral blood leukocytes 6.2 × 10 ~ 9 / L, N56%, L44%. Urine routine, stool routine normal. ASL-0500 units below. ECG shows: sinus rhythm. Electroencephalogram: moderate 痌 like discharge, hyperventilation (HV) observed for three minutes, 50 seconds when the high amplitude