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患儿女,3岁,间断抽搐3天。患儿子3天前无明显诱因出现抽搐,抽搐时双眼上翻,口唇发青,口吐白沫,四肢痉挛,无大小便失禁,约1分钟后自行缓解,无发热,而后嗜睡。于入院前1天晚上开始频繁抽搐,症状同前,每次间隔1小时左右,共8次,有时伴有神志不清。体查:T36.8℃,P 140次/min,R 26次/min,W 15kg,神志模糊,呼之不应,颈软,咽无充血,心、肺(-),腹软,肝脾未及,神经系统检查阴性,四肢肌张力低。脑电图:广泛性重度异常脑电图(高幅多棘慢结合波及尖-慢综合波爆发持续时间40秒)。血常规:WBC 10.3×10~9/L,L 59%,N 38%,HGB 122g/L。脑脊液生化:Cr126.00mmol/L,CLU:6.10mmol/L,微量蛋白0.1g/L,RT:无色透明,潘迪氏试验:(-),RBC 14×10~6/L,WBC 2×10~6/L。细胞学:全片未见任何细胞。血生化:Cr 98.0mmol/L,Na~+130.9mmol/L,Mg~(2+) 0.8mmol/L,Ca~(2+) 2.3mmol/L。颅脑平
Children with children, 3 years old, intermittent twitching 3 days. Suffering from his son three days ago no obvious incentive to convulsions, convulsions eyes upturned, lips blue, foaming at the mouth, limb spasms, no incontinence, about 1 minute self-remission, no fever, and then lethargy. 1 day before admission, frequent convulsions, symptoms with the former, each about 1 hour intervals, a total of 8 times, sometimes accompanied by confusion. Physical examination: T36.8 ℃, P 140 times / min, R 26 times / min, W 15kg, ambiguous, call should not, neck soft, pharynx without congestion, heart and lung (-) Nervous neurological examination negative, limb muscle tension is low. Electroencephalogram: A wide range of severe abnormalities EEG (high amplitude spike slow combination of slow-onset - slow wave burst duration of 40 seconds). Blood: WBC 10.3 × 10 ~ 9 / L, L 59%, N 38%, HGB 122g / L. CSF biochemical: Cr126.00mmol / L, CLU: 6.10mmol / L, trace protein 0.1g / L, RT: colorless and transparent, Pandit’s test: (-), RBC 14 × 10 ~ 6 / L, WBC 2 × 10 ~ 6 / L. Cytology: The whole film did not see any cells. Blood biochemistry: Cr 98.0mmol / L, Na ~ + 130.9mmol / L, Mg 2+ 0.8mmol / L, Ca 2+ 2.3mmol / L. Brain flat