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麻疹病毒感染所致的下丘脑综合征(以下简称HTS),国内报道很少,现报告一例如下。患儿男性,5岁,1985年9月入院。患儿于一年半前患麻疹,当月即出现食欲亢进,每餐吃4两,体重进行性增加,在当地医院诊断为“功能性肥胖”。近半年来进食时嗜睡,易怒,四肢颤抖,同时伴有多汗和步态不稳。入院前3个月体温曾高达42℃,怀疑为“下丘脑病变”,蝶鞍部X线摄片和头部CT检查均未见异常,脑电图高度异常,甲状腺吸~(131)Ⅰ功能低下。入院前三天无明显诱因体温又升至42℃,由外院转入我院。查体:嗜睡状,T37.8℃,BP12.0/8.0kPa,体重29kg,身高98cm,全身呈均匀性肥胖,头围55cm。甲状腺不肿大,心肺未见异常,肝肋下3cm.脾未能及.睾丸未完
Hypothalamic syndrome caused by measles virus infection (hereinafter referred to as HTS), few reports in China, the report is as follows. Children with children, 5 years old, admitted to hospital in September 1985. Children with measles in a year and a half ago, the month that appetite hyperthyroidism, eat four two meals per meal, progressive weight gain, diagnosed at the local hospital as “functional obesity.” Drowsiness, irritability, trembling limbs, eating sweating and gait instability. 3 months before admission, body temperature was as high as 42 ℃, suspected to be “hypothalamic lesions”, no abnormalities of the sella radiograph and head CT examination, abnormal EEG, thyroid suction ~ (131) Ⅰ function was low . Three days before admission no obvious incentive body temperature rose to 42 ℃, transferred from the hospital to our hospital. Physical examination: lethargy, T37.8 ℃, BP12.0 / 8.0kPa, weight 29kg, height 98cm, the body was uniform obesity, head circumference 55cm. Thyroid does not enlarge, no abnormal heart and lung, liver ribs 3cm. Spleen failed and. Testicular unfinished