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病例摘要:患儿,女,7岁,住院号4484。因发冷、发热4天,抽搐,于1982年5月8日入院。20天前玩耍中不慎将右面部跌伤于水泥电柱上,致外伤性淤血。但当时无抽搐、恶心、呕吐等。患儿平素健康,否认癫痫及其它传染病史。查体;T39℃,P120次/分,R30次/分,(其节律有时呈抽泣样呼吸),BP110/70mmHg,皮肤粘膜无黄染,无皮疹及出血点。双肺未闻及干湿罗音,心音纯,律整。腹软,凹陷,肝脾未扪及。双瞳孔5mm,光反射迟钝,病理反射未引出。化验白细胞15800~22600,中性57%,淋巴41%.嗜酸2%,血红蛋白10.5g,尿蛋白(+),红细胞20/HP,白细胞1~2/HP,比重1.020。脑脊液检查:颜色稍混,细胞数10/mm~3,氯化物720mg%,糖定量90mmg%,蛋白定性(-)。钾3.4mEq/L;钠141mEq/L;氯
Case Summary: Children, female, 7 years old, hospital number 4484. Due to chills, fever 4 days, convulsions, on May 8, 1982 admission. 20 days ago inadvertently playing in the right side fell hurt on the cement column, causing traumatic congestion. But at that time no convulsions, nausea, vomiting and so on. Children generally healthy, deny the history of epilepsy and other infectious diseases. Examination; T39 ℃, P120 beats / min, R30 beats / min, (its rhythm is sometimes sobbed breathing), BP110 / 70mmHg, skin mucosa no yellow dye, no rash and bleeding points. Unhealthy lungs both raindrops, pure heart sound, law and order. Abdomen soft, hollow, not palpable liver and spleen. Double pupil 5mm, slow light reflex, pathological reflex did not lead. Laboratory white blood cells 15800 ~ 22600, 57% neutral, lymph 41%. 2% acidophilus, hemoglobin 10.5g, urinary protein (+), red blood cells 20 / HP, leukocytes 1-2 / HP, the proportion of 1.020. Cerebrospinal fluid examination: the color of a little mixed, the number of cells 10 / mm ~ 3, chloride 720mg%, sugar quantitative 90mmg%, qualitative protein (-). Potassium 3.4 mEq / L; Sodium 141 mEq / L; Chlorine