论文部分内容阅读
患儿,男,8岁,因反复发作眼前黑矇伴眩晕2年就诊.患儿2年前在无明显诱因下,反复出现眼前黑矇伴眩晕,非旋转性,每次发作1分钟左右,最长5分钟,发作过程清醒,无抽搐及跌倒现象,亦无耳鸣、恶心、呕吐.近3月发作频繁,每日最多可达4～5次.曾在院外多次就诊,诊断为“贫血”、“眩晕症”,服药后症状无好转,追问病史,出生时有“颅内出血”史,浙江省儿童医院头颅B超示:右枕部Ⅲ级颅内出血.体检:T37℃,P88次/分,R24次/分,BP12.5/8kPa神清,发育营养中等,反应灵敏,心肺听诊正常,腹软,肝肋下1cm,质软,无压
Children, male, 8 years old, due to recurrent dark amaremia with dizziness 2 years treatment .In 2 years ago, children with no obvious incentive, repeated darkness with dizziness, non-rotation, each episode for about 1 minute, Up to 5 minutes, the onset of a clear process, no convulsions and falls, no tinnitus, nausea, vomiting .In recent episodes of frequent up to 4 to 5 times a day .Has repeatedly seen outside the hospital, diagnosed as “anemia ”,“ Vertigo ”, no improvement in symptoms after taking medication, history, history of“ intracranial hemorrhage ”at birth, head of Children’s Hospital of Zhejiang Province B ultrasound showed: right occipital Ⅲ intracranial hemorrhage. Physical examination: T37 ℃, P88 times / Points, R24 beats / min, BP12.5 / 8kPa Shen Qing, developmental nutrition medium, responsive, normal cardiopulmonary auscultation, abdominal soft, liver ribs 1cm, soft, no pressure