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一男婴,为顺产第一胎,情况良好,母乳喂养.于出生第8天突然发热(体温未测)、拒乳、睡眠时尖叫、哭闹。继而左侧肢体抽搐,上下肢屈曲难伸,头偏向左侧,持续1～2分钟自行缓解,入睡.次日,患儿阵发性抽搐频繁,伴口唇青紫,口吐少许白沫.曾按“感冒”治疗无效.病后第3天某医院诊为“败血症”,给以红霉素及卡那霉素治疗.第4天作腰穿,查脑脊液异常,以“流脑”于1982年3月18日转我院.患儿发病以来无明显呕吐,不咳嗽,大小便正常.体检:体温36℃,脉搏120次,呼吸36次.发育正常,嗜睡状态,皮肤无出血点及瘀斑。头颅正常,前囱稍饱满,较紧张.咽充血.巩膜无黄染,
A baby boy, a firstborn child, was in good condition and was breastfeeding.A sudden fever (body temperature not measured) on day 8 of birth, refusing milk, screaming during sleep, crying. Then left limb twitch, upper and lower limbs flexion and extension, head to the left, continued for 1 to 2 minutes to ease themselves, fall asleep the next day, children with paroxysmal convulsions, accompanied by lips bruising, vomit a little foam. “Cold” treatment invalid .3 days after the disease a hospital diagnosed as “sepsis” to give erythromycin and kanamycin treatment .Day 4 for lumbar puncture, check cerebrospinal fluid abnormalities, “meningitis” in 1982 March 18 to our hospital since the onset of children no obvious vomiting, no cough, normal urine. Physical examination: body temperature 36 ℃, pulse 120 times, breathing 36. Normal development, lethargy state, the skin no bleeding spots and ecchymosis . Head normal, a little full before the chimney, more nervous. Pharyngeal hyperemia. Sclera no yellow dye,