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先天性单侧肥大症临床上罕见。最近,我院接诊1例,现报告如下。患儿,女性,5岁,九江市人。其母代诉,该儿系8个月早产,第二胎,出生时即发现左半身肥大,后来日渐明显,行走稍跛。父母非近亲结婚,其母妊娠期无患病史,无家族史。体检:患儿营养良好,精神佳,智力发育正常。全身皮肤无色素沉着,无血管扩张。浅表淋巴结不肿大,心肺检查无异常。左侧半身(包括面、胸、腰、腹、会阴、上下肢等部)明显较对侧肥大,尤以下肢显著(见图)。各关节活动和肌力正常。脊柱代偿性右侧弯,活动正常,有跛行步态。神经系统未引出病理反射。肢体测量见表1、2。讨论单侧肥大症可分为两大类,一类为先天性,系受精卵分成两个大小不同的细胞所致;一类为后天性,因一侧有血管瘤或血液循环和淋巴系统的局部
Congenital unilateral hypertrophic rare clinical. Recently, our hospital admissions in 1 case, are as follows. Children, women, 5 years old, Jiujiang City. The mother sued, the pedigree 8 months premature birth, the second child, was found at birth, left half-length hypertrophy, then gradually obvious, walking a little lame. Parents non-relatives get married, their mother had no history of pregnancy, no family history. Physical examination: Children with good nutrition, good spirit, mental development is normal. Whole body skin pigmentation, no vasodilation. Superficial lymph nodes are not enlarged, no abnormal heart and lung examination. The left side of the body (including the face, chest, waist, abdomen, perineum, upper and lower extremities and other parts) significantly larger than the contralateral mast, especially in the lower extremity significantly (see Figure). Each joint activity and muscle strength is normal. Right compensatory spinal curvature, normal activity, a limp gait. The nervous system does not elicit pathological reflexes. Limb measurements are shown in Table 1 and 2. Discussion Unilateral hypertrophy can be divided into two categories, one for the congenital, the zygote is divided into two cells of different sizes; one is acquired, due to the side of the hemangioma or blood circulation and lymphatic system Partial