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1岁女婴,因头偏向左侧伴呻吟、精神差8天入院。病后食欲减退、无发热、呕吐或惊厥。平素体健.否认外伤史。体查:神清,对外反应灵活。前囟0.5×1cm,平坦,头围46.2cm,头向左歪,双瞳孔等大。微笑时左鼻唇沟较右侧浅,颈无抵抗,心、肺、腹未见异常,四肢肌张力正常,生理反射存在,无病理反射及脑膜刺激征。血红蛋白87g/L,红细胞2.4×10~(12)/L、白细胞13×10~9/L,中性53%,
1-year-old baby girl, due to head to the left with a moan, mental poor admission for 8 days. Loss of appetite after illness, no fever, vomiting or convulsions. Plainly healthy. Denied the history of trauma. Physical investigation: clear, external response flexible. Anterior fontanel 0.5 × 1cm, flat, head circumference 46.2cm, head left crooked, double pupil and other large. Smile when the left nasolabial fissure than the right side of the shallow neck without resistance, heart, lung, abdomen no abnormalities, limb muscle tone normal, there is no physiological reflection, no pathological reflex and meningeal irritation. Hemoglobin 87g / L, erythrocytes 2.4 × 10-12 / L, white blood cells 13 × 10 ~ 9 / L, neutral 53%