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阵发性睡病在儿科是一种少见的睡眠障碍。本例男患儿,1岁,入院前1个月因咳嗽服用非那根4天,停药2天后玩耍时猝倒,入睡5小间后自行清醒。本次入院前5小时再次在玩耍时突然伏倒睡觉,呼之不醒、四肢软,呼吸弱,故来院急诊。无发热、咳嗽、呕吐及抽搐,大小便正常。第1胎足月顺产,无窒息及外伤史。家族史无特殊。经全面仔细体查和各项实验室检查,均未发现异常。胸片、脑电图颅脑CT扫描也均无异常。入院后未经特殊治疗于2小时后完全清醒,嬉戏如常。住院期间曾用非那根和鲁米那,均未出现嗜睡。一个月后患儿再次出现周前的睡眠发作,经用丙咪嗪治疗,至今两年未见复发。
Paroxysmal sleep sickness is a rare sleep disorder in pediatrics. In this case, a male patient, 1 year old, was admitted to Cochinen for 4 days for coughing 1 month before admission. After stopping for 2 days, he was catapulted into play and slept for 5 hours after falling asleep. 5 hours before admission, once again falling asleep while playing, sleeping unconsciously, extremities soft, weak breathing, so emergency hospital. No fever, cough, vomiting and convulsions, normal urine. The first full-term birth abortion, no history of asphyxia and trauma. No special family history. After a thorough and detailed investigation and laboratory tests, found no abnormalities. Chest X-ray, EEG brain CT scan were normal. After admission without special treatment in 2 hours completely awake, play as usual. Finagen and Rumina had been used during hospitalization, and no lethargy occurred. A month after the onset of sleep in children again before the week, after imipramine treatment, no recurrence of two years so far.