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病历摘要男性,2岁,于1982年11月19日入院、患儿5日来持续发热,达39℃～40℃,伴流涕,咽痛、嗜睡、纳差。4日前突然抽搐1次,双眼上翻,双手抖动,颜面发绀,历时数分钟缓解,此后神志尚清但易发惊,时有烦躁不安。1日前渐现昏迷,伴腹泻日7～8次,初呈黄绿色糊状,渐有柏油样团块便,呕吐两次,呈喷射状,吐物为胃内容物,尿量及颜色正常,以“病毒性脑炎”收入院。查体:体温38.3℃,脉搏140次/分,呼吸28次/分,血压11.4/
Medical summary Male, 2 years old, was admitted to hospital on November 19, 1982. The patient sustained fever over the 5th day, reaching 39-40 ° C, with runny nose, sore throat, lethargy and anorexia. 4 days ago convulsions 1 times, his eyes turned upside down, his hands shaking, facial cyanosis, which took several minutes to ease, since the mind is still clear but easy to panic, sometimes irritability. 1 days ago, a coma, with diarrhea, 7 to 8 times, the beginning of a yellow-green paste, gradually asphalted clumps, vomiting twice, was jet-like, spit things for the stomach, urine output and color to normal “Viral encephalitis” income homes. Physical examination: body temperature 38.3 ℃, pulse 140 beats / min, breathing 28 beats / min, blood pressure 11.4 /