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患儿,女,10岁。以突然抽搐3次,昏迷4小时于1992年5月13日入院。患儿于来院前8小时开始自觉头晕、头痛,后突然抽搐3次,持续时间最长达30分钟,随即意识不清。病人未发热,无吐泻及咳嗽。既往经常感冒。体检:体温36.7℃,脉搏160次/分,呼吸26次/分,血压13/8kPa(100/65mmHg)。浅昏迷状。双瞳孔等大,光反应迟钝。颈软。双肺未闻及罗音。心率160次/分,心律不齐,心音有力,无杂音。双膝反射亢进,双侧巴氏征阳
Children, female, 10 years old. To convulsions 3 times, coma 4 hours on May 13, 1992 admission. The children started to feel dizzy and had a headache eight hours before coming to hospital. Sudden convulsions were repeated three times for a maximum duration of 30 minutes, then they became unconscious. The patient did not fever, no vomiting and coughing. In the past often cold. Physical examination: body temperature 36.7 ℃, pulse 160 beats / min, breathing 26 beats / min, blood pressure 13 / 8kPa (100 / 65mmHg). Shallow coma. Double pupil and other large, light reaction slow. Neck soft. Two lungs did not smell and rales. Heart rate 160 beats / min, arrhythmia, strong heart sound, no noise. Knee reflex hyperthyroidism, bilateral Pap’s positive sign