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患者,男,8a。因四肢震颤、流涎、构音不清伴智力低下2a 余入院。眼科检查见K-F 环。神经系检查:四肢肌张力对称增高,伴四肢粗大震颤。实验室:血清铜11.6μmol/L,铜氧化酶18.6mg/dl。诊断:肝豆状核变性。治疗前,青霉素皮试阴性,予青霉胺0.125,3/d,维生素 E、B_6治疗,于治疗 d5出现低热(37.5℃),两肺呼吸音粗。摄胸片示:两侧肺野可见散在分布的小片状阴影,以右侧明显,提示两侧过敏性肺炎。血常规示:WBC 4.500×10~9/L,N48%,
Patient, male, 8a. Tremor due to limbs, salivation, unclear articulation with mental retardation more than 2a admission. Eye examination see K-F ring. Nervous system examination: symmetrical limb muscle tension increased, with large limb tremor. Laboratory: serum copper 11.6μmol / L, copper oxidase 18.6mg / dl. Diagnosis: Wilson’s disease. Before treatment, penicillin skin test negative to penicillamine 0.125,3 / d, vitamin E, B_6 treatment, in the treatment of d5 low fever (37.5 ℃), both lungs sound rough tone. Chest radiograph showed: scattered on both sides of the lung field can be seen scattered small pieces of shadow to the right obvious, suggesting that both sides of the allergic pneumonia. Blood showed: WBC 4.500 × 10 ~ 9 / L, N48%