论文部分内容阅读
患儿女,1岁,汉族。进行性双下肢活动障碍伴肿胀1个月。否认有家族性出血性病史及外伤史。单纯面糊喂养,未加用任何辅食。10个月时,患儿可扶物站立。查体;体温37.8℃,体重7.5kg,见生人哭闹。患儿仰卧位,双下肢呈屈曲外展位。上下齿龈可见暗红色瘀斑,肋骨与肋软骨交界处有尖锐隆起伴内侧下陷。双侧大腿中下及膝关节肿胀、右侧甚,无红热,有活动障碍,拒触,被动运动时患儿则哭闹。下肢长骨骨片示骨密度普遍减低,临时钙化带增厚,可见坏血病线、坏血病角,骨骺呈指环状。束臂实验阳性,出血时间5分钟(Duke法)。诊断为维生素C缺乏症。入院治疗,静点VitC4g/日,1周后改为1g/日同时添加水果、蔬菜等富含维生素的辅食。静点
Children with children, 1 year old, Han nationality. Progressive lower extremity dysfunction with swelling for 1 month. Denied a history of familial hemorrhagic and traumatic history. Simple batter feeding, without any food supplement. 10 months, children can help to stand things. Physical examination; body temperature 37.8 ℃, weight 7.5kg, see the cry of strangers. Children supine position, lower limb flexion outreach position. The upper and lower gums visible dark red ecchymosis, ribs and costal cartilage at the junction of sharp uplift with medial sag. Both sides of the lower thigh and knee swelling, the right side, no red hot, there are obstacles to movement, refuse to touch, passive movement of children crying. Lower extremity long bone showed bone mineral density generally reduced temporary calcification with thickening line shows scurvy, sclerotinia, epiphyseal was ring-like. Beam arm test positive bleeding time of 5 minutes (Duke method). Diagnosis of vitamin C deficiency. Admission treatment, intravenous VitC4g / day, 1 week after the change to 1g / day at the same time add fruits, vegetables and other foods rich in vitamins. Static point