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患儿,男,11岁。因发热、头痛、上腹部不适、恶心、呕吐,口服胃复安8mg,3次/日,安乃近0.5g,3次/日。服药3天后突然出现颈项强直,口角向右侧抽搐,头转向右侧。上述症状持续4小时左右自行停止。当晚又发作两次,每次持续约半小时,症状同前。发作时意识清楚,能回答问话。体检:体温36℃,脉搏80次/分,血压90/60mmHg,神志清楚,营养中等,心肺未见异常,肝脾未触及。 实验室检查:脑电图正常,血钙10mg/dl,血磷2.4mEq/L,二氧化碳结合力22mmol/L,BU
Children, male, 11 years old. Due to fever, headache, abdominal discomfort, nausea, vomiting, oral metoclopramide 8mg, 3 times / day, metamizole 0.5g, 3 times / day. 3 days after taking medicine sudden neck stiffness, mouth to the right seizure, head turned to the right. The symptoms persist for about 4 hours to stop. Another episode that night, each lasting about half an hour, the same symptoms. Awareness when the attack, can answer questions. Physical examination: body temperature 36 ℃, pulse 80 beats / min, blood pressure 90 / 60mmHg, conscious, moderate nutrition, no abnormal heart and lung, liver and spleen not touched. Laboratory tests: normal EEG, serum calcium 10mg / dl, phosphorus 2.4mEq / L, carbon dioxide binding 22mmol / L, BU