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患孩,男,7岁,因发热、头痛、呕吐8天入院。体检:神清,颈部有明显抵抗。心肺(-)。腰穿脑脊液检查:细胞数450/mm~3,N59%,L41%,蛋白(+),糖及氯化物正常,涂片未检出细菌。诊断为病毒性脑膜炎。经脱水、镇静、止痛等一般对症及支持疗法,3天后患孩上述症状、体征消失。第五天患孩在无明显诱因的情况下,出现颜面浮肿,次日遍及全身(非凹陷性),尿少,并又出现发热;第六天双侧腮腺肿大,并出现血尿。患孩周
Child, male, 7 years old, due to fever, headache, vomiting admitted to hospital for 8 days. Physical examination: God clear, the neck has obvious resistance. Cardiopulmonary (-). Lumbar puncture cerebrospinal fluid examination: the number of cells 450 / mm ~ 3, N59%, L41%, protein (+), sugar and chloride normal, smear undetected bacteria. Diagnosed as viral meningitis. After dehydration, sedation, pain and other symptomatic and supportive treatment, 3 days after the above symptoms of children, signs disappear. On the fifth day, the child developed facial edema under the condition of no apparent inducement, the whole body (non-depressed) the next day, oliguria, and fever again; on the sixth day bilateral parotid gland swelling and hematuria appeared. Childhood weeks