论文部分内容阅读
患儿,女,11岁。因左侧肢体无力月余,呕吐3天住院。四个月前突然左眼视力丧失,经眼科检查诊断为左眼球后视神经炎,经治疗一个月后,视力逐渐恢复。近月来,发现左侧肢体无力,左上肢不能持物,左下肢行走不便,走路不稳,三天前频频呕吐。体查:神志清,精神差,面色略苍黄,皮肤弹性稍差,呼吸平稳,右眼视力1.0,左眼视力0.6,无视野缺损,眼底检查正常,颈软,心肺腹正常,左侧肢体轻偏瘫,右腹中部以下浅感觉减退,腱反射亢进,病理反射(-)。脑脊液:压力150mmH.O,外观无色透明,白细胞22个,糖62mg%,氯化物750mg%,蛋白45mg%。免疫球蛋白:IgG6.9mg%,IgA0,IgM0。血清免疫球蛋白IgG950mg%,
Children, female, 11 years old. Due to left limb weakness, vomiting 3 days hospitalization. Four months ago suddenly left eye loss of vision, the ophthalmology examination diagnosed as left posterior optic neuritis, after a month of treatment, visual acuity gradually restored. In recent months, found that the left limb weakness, left upper limb can not hold things, left lower extremity walking inconvenience, walking instability, vomiting frequently three days ago. Physical examination: conscious, poor spirit, slightly pale yellow, slightly less elastic skin, breathing steady, right eye vision 1.0, left eye vision 0.6, no field defect, normal fundus examination, soft neck, normal lung and abdominal, left limb light Hemiplegia, shallow right middle lower right sensory loss, tendon hyperreflexia, pathological reflex (-). Cerebrospinal fluid: pressure 150mmH.O, the appearance of colorless, transparent, 22 white blood cells, sugar 62mg%, chloride 750mg%, protein 45mg%. Immunoglobulins: IgG 6.9 mg%, IgA0, IgM0. Serum immunoglobulin IgG950mg%