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1 并发急性偏瘫(2例):男,9岁。因发热,双侧腮腺肿痛10天,伴头痛、呕吐5天,右侧肢体瘫痪一天;有流行性腮腺炎密切接触史。于1990年7月15日入院。体温38℃,神清、神萎,双侧腮腺明显肿胀、压痛,腮腺管口充血水肿,无脓性分泌物。右侧鼻唇沟略浅,右侧上下肢肌力0°,软瘫,膝反射消失,痛、触觉消失,右侧腹壁反射及提睾反射未引出;左侧肢体运动感觉正常。颈部抵抗。血常规正常,血、尿淀粉酶0.3936μkat/L.脑脊液有核细胞128×10~6/L,淋巴0.64。脑电图中度异常。诊断腮腺炎脑炎并发右侧偏瘫,给予病毒唑、甘露醇、地塞米松治疗,2天后昏迷,继之呼吸衰竭死亡。
1 complicated with acute hemiplegia (2 cases): male, 9 years old. Due to fever, bilateral parotid gland swelling and pain for 10 days, with headache, vomiting for 5 days, right limb paralysis one day; close contact with mumps history. On July 15, 1990 admitted. Body temperature 38 ℃, Shen Qing, Shen Wei, bilateral parotid obvious swelling, tenderness, parotid orifice congestion and edema, no purulent secretions. Right nasolabial fold slightly shallow right upper extremity muscle strength 0 °, soft paralysis, knee reflex disappeared, pain, touch disappeared, the right abdominal reflex and cremaster reflex did not lead to; left limb movement was normal. Neck resistance. Blood routine normal, blood, urine amylase 0.3936μ kat / L. Cerebrospinal fluid nucleated cells 128 × 10 ~ 6 / L, lymphatic 0.64. EEG moderate abnormalities. Diagnosis mumps encephalitis complicated by right hemiplegia, given ribavirin, mannitol, dexamethasone treatment, 2 days after the coma, followed by respiratory failure and death.