论文部分内容阅读
患儿,男,4岁,以“间断发热,呕吐5天,抽搐1次”为主诉于1994年11月13日住我院小儿科诊治。病程中无腹疼、腹泻及大便带血,无呕吐咖啡样胃内容物。查体:T 37℃,精神萎靡,嗜睡,呼之不应,压眶有反应,面色轻微发绀。心肺听诊正常,腹软,脐周压痛轻。化验:血WBC 17.5×10~9/L,N0.52,LC0.47,血生化及脑脊液生化检查正常,脑电图示重度弥散性异常。按“抽搐原因待查,病毒性脑炎?”给予降颅压,抗感染,对症治疗。住院期间患儿频繁抽搐,上述症状加重,多次呕吐咖啡样物质(化验:RBC+++,OB+),腹痛有所加重,不伴腹泻及血便。给予对症处理,3天后患儿出现黄疸。肝功示:
Children, male, 4 years old, with “intermittent fever, vomiting for 5 days, convulsions 1” as the chief complaint in November 13, 1994 live in our hospital Pediatric diagnosis and treatment. No abdominal pain during the course of the disease, diarrhea and stool bloody, no vomiting coffee-like stomach contents. Physical examination: T 37 ℃, apathetic, lethargy, call should not, pressure orbital reaction, looking slightly cyanotic. Cardiopulmonary auscultation normal, abdominal soft, umbilicus tenderness light. Laboratory tests: blood WBC 17.5 × 10 ~ 9 / L, N0.52, LC0.47, blood biochemical and cerebrospinal fluid biochemical tests were normal, severe diffuse EEG showed abnormalities. According to “the cause of convulsions to be investigated, viral encephalitis?” Give intracranial pressure, anti-infection, symptomatic treatment. Frequent convulsions during hospitalization, the above symptoms aggravated, vomiting coffee-like substance (test: RBC +++, OB +), abdominal pain was aggravated, not associated with diarrhea and bloody stools. Give symptomatic treatment, 3 days after the children appear jaundice. Liver function: