论文部分内容阅读
瑞氏综合征(Reye’s syndrome)自1963年初次报告以来,已有不少病例报道,但至今仍常出现临床误诊的病例,为进一步引起临床重视,现将我院近10年来遇到的5例报告如下。临床资料一、一般资料与临床表现:男4例,女1例;年龄6个月～7岁。病史1～7天,就诊时有发热3例,咳嗽2例,腹泻1例,呕吐3例,抽搐4例,嗜睡2例,昏迷3例,肝大4例,脑膜刺激征阳性1例,巴氏征阳性2例,消化道出血1例,心功能衰竭1例。二、实验室检查:查周围血象4例,白细胞总数16.1～21×10~9/L,分类中性粒细胞0.7～0.9,血糖<4.44mmol/L2例,4.44～6.66mmol/L2例,>6.66
Reye’s syndrome has been reported in many cases since its first report in 1963. However, there are still many cases of clinical misdiagnosis. To further arouse clinical attention, five cases of Reye’s syndrome The report is as follows. Clinical data First, the general information and clinical manifestations: 4 males and 1 female; aged 6 months to 7 years. 1 to 7 days of medical history, 3 cases of fever, 2 cases of cough, 1 case of diarrhea, 3 cases of vomiting, 4 cases of convulsions, 2 cases of lethargy, 3 cases of coma, 4 cases of hepatomegaly, 1 case of positive meningeal irritation, 2 cases of positive sign, 1 case of gastrointestinal bleeding, heart failure in 1 case. Second, the laboratory tests: Check the peripheral blood in 4 cases, the total number of leukocytes 16.1 ~ 21 × 10 ~ 9 / L, classification of neutrophils 0.7 ~ 0.9, blood glucose <4.44mmol / L2 cases, 4.44 ~ 6.66mmol / L2 cases, 6.66