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例1,9个月女婴。入院前4天咳嗽、呕吐、哭闹,2天后,突然反复全身抽搐发作,不久陷入昏呆。查体:肛温38.1℃,P144次/min,R58次/min,BP14.3/9.1kPa(107/68mmHg)。前囱紧张、隆起,粘膜干燥。半昏迷,腱反射亢进。血气及 CSF 正常。脑超声示,双丘脑回声显著增强。CT 示双丘脑低密度。8个月后死于癫痫。尸检示典型的丘脑梗塞。例2,10个月女婴。低热、流涕2天后入院,入院当天呕吐腹泻严重、尿少、全身反复抽搐。查体:肛温37.8℃,P164次/min,R43次/min,BP12.3/8.7kPa(92/65mmHg)。前囱平,粘膜干燥。半昏迷,无脑膜刺激征、颅高压征、局灶神经体征。血及 CSF 正
Example 1,9 month baby girl. 4 days before admission, cough, vomiting, crying, 2 days later, suddenly repeated systemic seizures, and soon fell into a drowsiness. Examination: rectal temperature 38.1 ℃, P144 times / min, R58 times / min, BP14.3 / 9.1kPa (107/68 mmHg). Before the stack nervous, uplift, mucous membrane dry. Semi-coma, tendon hyperreflexia. Blood gas and normal CSF. Echocardiography showed a significant increase in the echogenicity of the hypothalamus. CT showed hypothalamus low density. Eight months later died of epilepsy. Corpse examination showed typical thalamic infarction. Example 2, 10 months baby girl. Low fever, runny nose 2 days after admission, vomiting on the day of admission, severe diarrhea, oliguria, repeated seizures. Physical examination: rectal temperature 37.8 ℃, P164 times / min, R43 times / min, BP12.3/8.7kPa (92/65mmHg). Chimney flat, mucous membrane dry. Semi-coma, meningeal irritation, signs of intracranial hypertension, focal neurological signs. Blood and CSF are positive