多发性大动脉炎误诊为病毒性脑心肌炎1例

• 作 者: 赵会芹 景海珍
• 机 构: 河北省邯郸市中心医院,河北省邯郸市中心医院 056001,056001
• 出 处: 临床医学
• 发表日期: 1996年02期
• 关键词: 多发性大动脉炎 双膝腱反射 巴氏征阳性 关节炎病史 心尖搏动 下肢肌 下肢瘫痪 前区 吹风样杂音 周前

患儿,男,10岁。以发热5天、左侧上下肢瘫痪3天入院,一周前患流行性腮腺炎,无关节炎病史。查体:体温38.5℃,脉博56次/分,Bp22/12kPa。神志清楚,精神欠佳,颈软,双肺正常,心前区无隆起,心尖搏动无弥散,心界扩大不明显,心前区可闻及Ⅱ级收缩期吹风样杂音。腹软,肝肋下2cm,质地中等无压痛,左上下肢肌力0级,双膝腱反射活跃,左侧巴氏征阳性。血常规:红细胞4.2×10~(12)/L,血红蛋白140克/L,白细胞9.6×10~9/L,血沉27mm/h,抗链“O”1

Children, male, 10 years old. To 5 days fever, paralysis on the left upper limb paralysis 3 days admission, a week ago suffering from mumps, no history of arthritis. Physical examination: body temperature 38.5 ℃, Pulse Bo 56 times / min, Bp22 / 12kPa. Consciousness, poor health, neck soft, normal lungs, anterior precinct without uplift, apex beating no dispersion, heart expansion is not obvious, precordial area can be heard and Ⅱ grade systolic hair-like murmur. Abdomen soft, liver ribs 2cm, texture no tenderness, left upper extremity muscle strength 0, knee tendon reflex active, positive left Pakistan’s sign. Blood routine: erythrocyte 4.2 × 10-12 / L, hemoglobin 140 g / L, leukocyte 9.6 × 10-9 / L, erythrocyte sedimentation rate 27mm / h, anti-chain “O” 1