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肠道蛔虫症为儿童尤其是农村儿童的常见病,而由蛔虫引起的中毒性脑病为儿科的急重症,易与癫痫持续状态、有机氟类灭鼠药中毒、颅脑损伤、心血管疾病相混淆,极易误诊。现将作者所遇3例报道如下,以提高对本病的认识和及时诊断。 例1 男,3岁。本县溪口镇溪口村人。因频繁抽搐、昏迷6小时,于1990年5月8日18:00时急诊入院。患者于入院前6小时无明显诱因突然出现意识不清,两眼上翻,口吐白沫,四肢强直性抽搐,持续约3分钟自行缓解。此后又类似发作10余次,发作间歇意识不清。病程中无发热、无咳嗽、二便正常。既往身体健康,无癫痫病史。体检:T37.5℃,R30次/分,P112次/分,呈昏迷状态,瞳孔0.4cm,光反射敏感,无鼻搧,口唇发绀,颈部抵抗,两肺呼吸音粗,心率112次/分,律整,无杂音,腹平软,肝脾未触及,脐周可触及条索状物,四肢肌张力增高,巴氏征(-),血常规示中性粒细胞偏高,拟诊“癫痫持续状态?有机氟
Intestinal ascariasis is a common disease in children, especially rural children, and toxic encephalopathy caused by roundworms for pediatric critical illness, easy and status epilepticus, organophosphate rodenticide poisoning, head injury, cardiovascular disease phase Confused, easily misdiagnosed. The authors now encounter three cases reported below, in order to improve the understanding of the disease and timely diagnosis. Example 1 male, 3 years old. Xikou Town, Xikou County. Due to frequent convulsions, coma 6 hours, at 18:00 on May 8, 1990 emergency admission. 6 hours before admission, no obvious incentive for patients suddenly appeared unconscious, his eyes upturned, foaming at the mouth, limbs tonic twitch, sustained about 3 minutes to ease. Since then attacked more than 10 times, episodes intermittent unconsciousness. During the course of fever, no cough, two will be normal. Past health, no history of epilepsy. Physical examination: T37.5 ℃, R30 beats / min, P112 beats / min, was unconscious, pupil 0.4cm, light sensitive, no nose fans, cervical cyanosis, cervical resistance, Points, law, no noise, abdominal soft, liver and spleen not touched, cord can reach the cord-like objects, limb muscle tension increased, Pakistan’s sign (-), blood showed high neutrophils, Epilepsy status? Organic fluorine