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病历摘要男孩,1岁1个月。于1991年8月18日以抽风数次、发热1d 的主诉入院。患儿于3d前无明显诱因而出现抽风,抽时右侧肢体抽动,口角右斜,双眼凝视.持续约1h 用药后缓解。2d 来曾发作多次,无发热,不呕吐,无腹泻,缓解后一切如常。入院当日早晨发热到38.5～39.9℃,无流涕、咳嗽,发热后断续发作抽风,部位不定,持续3～4h,在当地医院用药后缓解,其后嗓响有痰声。发病后食纳差,二便正常。门诊以“乙脑”收住。既往体健,无头部外伤史。父母体健,祖母曾患肺结核已愈5～6年。周围无急慢性传染病患者。家住地区除农
Medical summary boy, 1 year and 1 month. On August 18, 1991 with the ventilation several times, 1d fever main admission. No obvious incentive in children with 3d before induction, pumping the right limb twitch, right angle diagonal, eyes staring .About 1h relief after treatment. 2d to attack many times, no fever, no vomiting, no diarrhea, relieve everything after usual. On the morning of admission, fever to 38.5 ~ 39.9 ℃, no runny nose, cough, fever intermittent episodes of epilepsy, indefinite position for 3 ~ 4h, relieved after treatment in the local hospital, followed by throat phlegm. After eating anorexia, two will be normal. Clinic to “JE” admitted. Past physical health, no head trauma history. Parental health, grandmother had tuberculosis has been 5 to 6 years. No acute and chronic infection around the patient. In addition to live in areas