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误诊为病毒性脑炎的线粒体脑病1例

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摘要 病历摘要患儿,女,9个月,主因间断发热伴呕吐8 d,抽搐、精神差2 d入院,患儿于入院前8 d无明显诱因出现发热,具体体温未测,无寒战,无咳嗽,伴有流涕,有间断呕吐,呕吐胃内容物,呈非喷射性,家属自予药物口服治疗(具体不详),病情好转,停药后易反复;2 d前患儿出现抽搐1次,抽搐表现为双眼凝视,口唇发绀,四肢强直,持续约1~2 min缓解,抽搐后神志清楚,精神稍差,1 d前外院住院,予“头孢吡肟、单磷酸阿糖腺苷、磷酸肌酸、纳洛酮、甲基强的松龙、甘露醇”等治疗,患儿仍有发热,体温38.5℃左右,当晚再发抽搐2次,表现同前,家属为求诊治转入我院;起病以来,精神稍差,食纳一般,大便稀,1~2次/d,小便正常。
作者 唐蕾 黎敏
出处 《中国社区医师》 2019年第33期20-20,共1页 Chinese Community Doctors
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