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患儿,女性,5岁。主因腹痛5小时伴抽搐2次入院。入院前5小时出现阵发性脐周疼痛,较剧烈,无呕吐及腹泻,继而出现抽搐,抽时眼球上吊,颈后仰,四肢强直,尿失禁,持续5分钟自行缓解。在门诊给予解痉剂及镇静剂治疗,腹痛稍减轻。3小时后再次发作抽搐,症状表现同第一次急来诊。查体:体温37.8℃,呼吸30次/分,脉搏138次/分,血压13.3/8kPa。发育正常,营养中等,神志清楚,头颅五官无异常,颈
Children, women, 5 years old. The main abdominal pain 5 hours with convulsions 2 admission. 5 hours before admission, paroxysmal umbilical pain occurred more severe, no vomiting and diarrhea, followed by convulsions, pumping eye hanging, neck back, limb stiffness, incontinence, sustained 5 minutes to ease. In the clinic to give antispasmodic agents and sedatives, abdominal pain slightly reduced. 3 hours after the onset of seizures, symptoms with the first emergency visit. Physical examination: body temperature 37.8 ℃, breathing 30 beats / min, pulse 138 beats / min, blood pressure 13.3 / 8kPa. Normal development, moderate nutrition, conscious, no abnormal cranial features, neck