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女,6个月,因前囟隆起27天入院。患儿于27天前健康检查谓有佝偻病,医嘱服用浓鱼肝油滴剂,当晚仅服3滴后出现非喷射性呕吐3次,为奶液,即入当地医院就诊,发现前卤隆起而住院22天,先后行腰椎穿刺2次,CSF正常,未测压;给地塞米松、甘露醇静滴3天,前囟平坦,未再呕吐。但停药次日前卤再度隆起转我院。病中无其他不适,精神好,食奶可。第一胎足月平产,出生时情况好,体重2.8kg,母乳不足,以全脂奶粉喂养,添少量奶糕,未添其它辅食。2月能抬头,现不能独坐,未出牙,
Female, 6 months, due to the former fontanel up 27 days admitted. Children 27 days before the health examination that rickets, the doctor ordered the use of concentrated fish liver oil drops, the night only served 3 drops after 3 times non-jet vomiting, for the milk, that is, into the local hospital and found the former halogen up and hospitalized 22 Day, followed by lumbar puncture 2 times, normal CSF, no pressure measurement; to dexamethasone, mannitol intravenous infusion of 3 days, flat bregma, no further vomiting. However, the withdrawal of halogen regained the next day before turning to our hospital. No other ill illness, the spirit of good, milk can be. The first full-term fetus, term birth, good condition, weight 2.8kg, lack of breast milk to full-fat milk powder, add a small amount of milk cake, did not add other food supplement. February can rise, now can not sit alone, not toothless,