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病儿,男,12岁。因感冒后出现周期性嗜睡16个月,每次发作持续约24～72h。睡眠期未进任何饮食,可听到均匀的呼吸音,偶有体位变动。但很快入睡,时常尿床,无发热、惊厥等表现。病前未服任何药物。发病间歇期为每次1～4个月。饮食较前稍有增加,精神好,能独立思考,言行如常,对往事能全部回忆。系第二胎,二产,足月,顺产。母乳喂养,健康,无急慢性传染病史。父母姐姐及家族中无类似病史。查体:颈软,心肺正常,腹软,肝脾不大,腱反射未引出,病理征(-)。实验室检查:血、尿、大便常规,抗“O”血沉,肝、肾功能、心电图、头颅
Sick child, male, 12 years old. Periodic drowsiness after a cold for 16 months, each episode lasts about 24 ~ 72h. Sleep without any diet, you can hear a uniform breath sounds, occasional body position changes. But quickly fall asleep, often wet the bed, no fever, convulsions and other performance. Did not take any medication before the illness. The onset of intermittent period of 1 to 4 months each. Diet slightly increased compared to the previous, good spirit, can think independently, words and actions as usual, can recall all the memories. Department of the second child, second production, full-term, natural delivery. Breastfeeding, healthy, no history of acute and chronic infectious diseases. Parents and sisters and no similar family history. Physical examination: neck soft, normal heart and lung, abdominal soft, small spleen, tendon reflex did not lead to pathological sign (-). Laboratory tests: blood, urine, stool routine, anti-“O” ESR, liver, kidney function, ECG, skull