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男,3岁,因反复肌麻痹半年,多尿、多饮伴便秘1月余,于1989年10月29日入院。入本院前曾先后两次因全身肌无力在当地医院诊为“低钾”,经治疗后症状缓解。本次又出现类以发作1天耐来诊并收入本科。追问病史,忠儿1个多月来多饮、多尿、便秘。既往常患“感冒”,“肺炎”,否认其他疾病史及用四环素、大剂量维生素D,二性霉素等药物史。患儿为第4胎足月顺产,母乳加人工喂养,一岁后生长发育减慢。否认祖父母、父母及兄姐有类似疾病史。体查:T 37.5℃,体重8.5公斤,神倦,营养发育差,强迫仰卧位,呼吸深大,规则,方颅,前囱已闭合,
Male, 3 years old, due to repeated muscle paralysis for six months, polyuria, drink more than 1 month with constipation, on October 29, 1989 admission. Into our hospital had twice because of myasthenia gravis in the local hospital as “hypokalemia”, after treatment, symptoms were relieved. This time there are classes to attack 1 day resistance and income undergraduate. Asked history, Chung child more than 1 month to drink more, more urine, constipation. In the past often suffer from “cold”, “pneumonia”, denied the history of other diseases and the use of tetracycline, high doses of vitamin D, amphotericin and other drug history. Children with full-term fourth-term fetus birth, breast-feeding and artificial feeding, after the first year of growth and development slowed down. Deprecated grandparents, parents and siblings have a history of similar diseases. Physical examination: T 37.5 ℃, weight 8.5 kg, God tired, poor nutritional development, forced supine position, deep breathing, regular, square cranial, the former has closed the chimney,