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郑某男,3岁。呕吐4个月余。患儿于1984年6月16日无任何诱因脐周围疼痛伴恶心呕吐(为非喷射性),呕吐物为胃内容物,无头痛,头晕及其他不适。入当地医院后发现体温39.5℃,颈有抵抗,布氏征(十),腰穿脑脊液为血性。拟为“蛛网膜下腔出血”。给新型青霉素,止血剂地塞米松等治疗,症状消失。住院期间做脑扫描示右额叶近中线“异常放射性浓聚”;头颅片示颅缝增宽。脑电图不正常。CT检查。右侧室前角部占位病变”;(1)血管畸形或其他肿瘤;(2)右顶部硬膜下陈旧性出血;(3)两侧脑室第三脑室扩大原因待查。转来我院时患儿食欲尚好无任何症状。追问既往有类似上述病史。无传染病及遗传性疾病史。
Jeong M, 3 years old. Vomiting more than 4 months. Children on June 16, 1984 without any incentives for pain around the umbilicus with nausea and vomiting (non-spray), vomit for the stomach contents, no headache, dizziness and other discomfort. Into the local hospital found body temperature 39.5 ℃, the neck has resistance, Brinell sign (ten), lumbar puncture cerebrospinal fluid is bloody. To be “subarachnoid hemorrhage”. To the new penicillin, hemostatic agents such as dexamethasone, the symptoms disappear. Brain scintigraphy during hospitalization showed the right frontal lobe near the midline “abnormal radioactive concentration”; cranial cranial suture showed widened. EEG is not normal. CT examination. (1) vascular malformations or other tumors; (2) the right top of the subdural hemorrhage; (3) the reasons for the enlargement of the third ventricle of the two lateral ventricles to be investigated. Childhood appetite is good when there is no any symptoms. Past history similar to the above history. No infectious diseases and genetic disease history.