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近年来,国内在防治佝偻病的过程中,由于过量摄入鱼肝油引起慢性维生素 A 中毒者日渐增多,而引起急性维生素 A 中毒者报道尚少,我院发现一例报道如下:患儿,男,7个月。因多汗多饮、嗜睡二天,恶心呕吐、哭闹不安2小时入院。体检:发育营养欠佳,急性病容,烦躁不安,汗液淋漓,眼眶轻陷,头发稀黄,轻度方颅,前囟1.5×1.5cm,平软,枕后脱发,皮肤未见脱屑,颈无抵抗,心肺均未见异常。Kernig氏征阴性。实验室检查:血钙2.5mmol/L,血磷1.292mmol/L。三大常规未见异常。因病因未明,给予对症治疗,2天后症状消失,第3天上述症状再次出现,追问病史,方知
In recent years, the domestic prevention and treatment of rickets in the process, due to excessive intake of cod liver oil caused by an increasing number of chronic vitamin A poisoning caused by acute vitamin A poisoning is still reported in our hospital found a case reported as follows: children, men, 7 month. Due to sweating drink, lethargy two days, nausea and vomiting, crying uneasy 2 hours admission. Physical examination: poor nutrition, acute illness, irritability, sweat dripping, orbital rash, hair thin yellow, mild square skull, anterior fontanel 1.5 × 1.5cm, soft, occipital hair loss, no skin scaling, neck No resistance, no abnormal heart and lung. Kernig’s sign is negative. Laboratory tests: serum calcium 2.5mmol / L, phosphorus 1.292mmol / L. Three common anomalies. Due to etiology unknown, given symptomatic treatment, symptoms disappeared after 2 days, the first 3 days the above symptoms appear again, ask the medical history, to know