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营养性巨幼红细胞性贫血主要系缺乏叶酸VitB_(12)所致,部分病例可出现神经精神症状,我科曾以低钙抽搐为初诊收治两例,报告如下:例1,男,3月,因嗜睡1月余,抽搐2天于1989年1月6日入院。1月前出现表情呆板,不哭,嗜睡,不主动觅食,近日出现手足震颤。查体:发育中等,营养欠佳,贫血貌,嗜睡状态,头发稀疏、干黄、前卤1.5×1.5cm,平坦,面肌、口唇、四肢震颤,偶伴有双眼上翻,持续5～10分钟自行缓解。颈无抵抗感。心肺(-),肝脾不大。HB
Nutritional megaloblastic anemia mainly due to the lack of folic acid VitB_ (12) due to neuropsychiatric symptoms in some cases, our department had low calcium convulsions for the initial diagnosis and treatment of two cases, the report is as follows: Example 1, male, March, More than one month due to drowsiness, convulsions 2 days in January 6, 1989 admission. 1 month ago appeared dull, do not cry, drowsiness, do not take the initiative to feed, hand-foot tremor occurred recently. Physical examination: moderately developed, poor nutrition, anemic appearance, drowsiness, thinning hair, dry yellow, pre-halogen 1.5 × 1.5cm, flat, facial muscles, lips, limb tremor, even with binocular upside down, sustained 5 to 10 Minutes to ease. Neck no sense of resistance. Cardiopulmonary (-), liver and spleen is not large. HB