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先天性心脏病并发脑脓肿并非罕见,但与先心病并发脑栓塞相比前者发生率远低于后者,所以不易引起临床医师的重视而误诊。现将我们遇到的2例报导如下: 例1、女性8岁;有先心病。病儿一月前感冒发热,当时最高体温为38.9℃,按上感治疗好转。近一周又感头痛,恶心无呕吐,伴上肢力弱3天。查体:神志清,精神蒌糜,问答切题。T37.5℃,P89次/分,BP13.3/8.0KPa。于胸骨左缘第2—3肋间闻及明显收缩期喷射性杂音,双肺底少量湿罗音。左鼻唇沟稍浅,颈部无抵抗,左上肢肌力Ⅲ级,左下肢肌力近正常,肌张力及深浅
Congenital heart disease complicated with brain abscess is not uncommon, but with congenital heart disease complicated with cerebral embolism compared to the former the incidence rate is much lower than the latter, it is not easy to cause the clinician’s attention and misdiagnosis. We now encounter two cases reported as follows: Example 1, 8-year-old female; a congenital heart disease. A sick child fever and fever a month ago, when the maximum temperature was 38.9 ℃, according to the sense of flu treatment improved. Nearly a week and headache, nausea and vomiting, accompanied by weak limbs for 3 days. Physical examination: Consciousness, mental Mi, Q & A. T37.5 ℃, P89 times / min, BP13.3 / 8.0KPa. On the left margin of the sternum 2-3 intercostal smell and significant systolic jet murmur, a small amount of wet lungs at the end of rales. The left nasolabial fissure is slightly shallow, the neck is non-resistant, the left upper extremity is of grade III, the left lower extremity is near normal and the muscle tone and depth are shallow