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1 临床资料 患儿,女,8岁,因发热、腹痛、腿痛2天入院。无恶心及呕吐,未出现抽风,大小便,未见异常,体检、体温38.9℃,神志清晰,精神紧张,皮肤粘膜无出血点及皮疹,表浅淋巴结无肿大,咽部充血,颈软、心肺无异常、腹部平坦,无压痛及反跳痛,肝脾未触及,四肢关节无红肿,自述左腿疼痛,且叫喊不止、不让别人动、触摸时痛觉过敏,膝腱反射存在,肌张力正常,病儿不敢抬左腿及下地走路。化验、血常规、大小便常规均正常。
1 Clinical data Children, female, 8 years old, due to fever, abdominal pain, leg pain 2 days admission. No nausea and vomiting, no appetite, urine, no abnormalities, physical examination, body temperature 38.9 ℃, clear consciousness, nervousness, skin and mucous membrane without bleeding and rash, superficial lymph nodes without swelling, throat congestion, neck soft, Cardiopulmonary no abnormalities, flat abdomen, no tenderness and rebound tenderness, liver and spleen not touched, limbs and joints without swelling, readme left leg pain, and shouting more, not others move, feel hyperalgesia when touched, knee tendon reflex exists, muscle tension Normal, ill children can not lift the left leg and walk under the ground. Laboratory tests, blood routine, urine routine are normal.