论文部分内容阅读
例1,男,4岁,患儿于1岁时起发热、抽风,伴轻微咳嗽,反复发作,在当地卫生院多次就诊,诊为“小儿肺炎”。给以抗炎对症治疗症状缓解。以后每年反复发作10余次,有时1月竟达2～3次,先后多次住院,查血常规、胸片、血生化均正常,均按“上感”、“小儿肺炎”给以青霉素、复方氨比及异丙嗪肌注热退、抽止。1年的起发作更频,每次均以发热开始,体温39℃左右,持续数分钟或数小时即自行缓解,发作以夜间为多。因病情渐加重故再次来院就诊。查体:发育营养正常;心肺无异常。脑电图提示:双颞枕尖慢综合波。遂按“癫痫”给以苯英钠,鲁米那治疗1年未复发。
Example 1, male, 4 years old, children with fever at 1 year old, ventilation, with a slight cough, recurrent, multiple visits at a local hospital, diagnosed as “pediatric pneumonia.” Give anti-inflammatory symptomatic treatment of symptoms. After repeated episodes of more than 10 times a year, and sometimes up to 2 to 3 times in January, has repeatedly hospitalized, blood tests, chest X-ray, blood biochemistry are normal, according to the “sense”, “pneumonia in children” to penicillin, Compound ammonia and promethazine intramuscular heat withdrawal, pumping. 1 year starting for more frequent, each with fever start, body temperature about 39 ℃, continued for several minutes or hours to relieve itself, attack as much at night. Because of his illness, he came to the hospital again. Physical examination: normal development and nutrition; no abnormal heart and lung. EEG Tip: double temporal pillow slow synthesis wave. Then press “epilepsy” to Benzene sodium, luminal treatment for 1 year without recurrence.