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患儿女,5岁,因发热10余日,心悸气短5天于1989年3月18日诊为病毒性心肌炎入院.入院后予以抗感染、激素及支持疗法等,地塞米松每日5mg 静滴,总量用至65mg 时患儿诉头痛、眼痛、恶心欲吐.查体:神志清,精神不振,颈无抵抗,心率120次/分,节律规整,心音低钝,各瓣膜区未闻及病理性杂音,腹部检查正常,神经系统检查无阳性体征.眼部检查:双侧睑,球结膜无充血,角膜清,前房深浅正常,双侧瞳孔等大等圆,光反射迟钝,双侧眼压3.9KPa(29.5mmHg),双眼视力0.3,因患儿不
Children, 5 years old, due to fever more than 10 days, palpitations shortness of breath 5 days in March 18, 1989 diagnosed as viral myocarditis hospitalized after admission to anti-infective, hormone and supportive therapy, dexamethasone daily 5mg static Drops, the total amount to 65mg when the children complained of headache, eye pain, nausea .Check the body: delirious, sluggish neck, no resistance, heart rate 120 beats / min, regular rhythm, low heart sound, the valve area Smell and pathological murmur, normal abdominal examination, neurological examination no positive signs .Eye examination: bilateral eyelid, conjunctival no congestion, corneal clear, normal anterior chamber depth, bilateral pupil and other large round, slow light reflex, Bilateral intraocular pressure 3.9KPa (29.5mmHg), binocular vision 0.3, because of children not