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患者,男性,12岁。1984年11月19日因劳动出汗受凉,次日感全身乏力,食欲减退,精神欠佳。第8日出现脐周及下腹持续性隐痛。诊为“上感”,给青霉素治疗1周,无效,腹痛转为胀痛。于同年12月3日来诊。无发热、腹泻及关节痛。无外伤、癫痫及过敏史。查体:T36.7℃,BP130/70mmHg,表情淡漠,咽部轻度充血、心肺阴性。脐周及下腹有压痛,无肌卫及反跳痛。肝、脾未触及。克氏征、布氏征、巴氏征均阴性。入院第2天,在熟睡中,患儿突然四肢强直,两眼上翻,发绀,继而全身反复连续、短促的剧烈屈曲性痉挛.呼吸急促,舌尖咬伤,意识完全丧失。历时3分钟自行缓解。发作中,无二便失禁及尖叫,发作后入睡。晨起对发作经过无记忆。发作后12小时脑电图示:高度弥漫性异常。脑脊液压力正常,外观无色清晰,白细胞0
Patient, male, 12 years old. November 19, 1984 Cold sweat because of work, the next day feeling malaise, loss of appetite, lack of energy. The umbilical cord and abdominal pain continued to appear on the 8th. Diagnosis as a “sense” to penicillin treatment for 1 week, invalid, abdominal pain into pain. December 3 the same year to the clinic. No fever, diarrhea and joint pain. No trauma, epilepsy and allergy history. Physical examination: T36.7 ℃, BP130 / 70mmHg, apathy, mild pharyngeal congestion, cardiopulmonary negative. Umbilical and lower abdomen with tenderness, no muscle and rebound tenderness. Liver, spleen not touched. Kirschner Sign, Brine’s sign, Pakistan’s sign were negative. On the second day of hospitalization, in the asleep, the children suddenly had their limbs straightened, their eyes turned up, their cyanosis, and then the whole body repeated successive, short-term severe flexion spasms. Lasted 3 minutes to ease itself. Attack, no incontinence and scream, fall asleep after the attack. Morning onset of the attack without memory. 12 hours after the onset of electroencephalogram: highly diffuse abnormalities. Normal cerebrospinal fluid pressure, clear and colorless appearance, white blood cells 0