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1岁男婴,以抽搐1月、行走困难半月入院,否认结核接触史。患儿神萎,消瘦,时有搐抽,抽时全身肌强直,双下肢阵挛,历时约3分钟,常自行缓解,皮肤干燥,前囟平软,双瞳等大正园,光反射存在,颈强;心肺无殊,舟状腹,双下肢肌张力低,跟、膝腱反射减弱。按格林-巴利综合征?脑炎?给抗感染及对症处理,次日患儿出现气促、发绀、呼吸困难,全身肌肉震颤,双瞳不等大,左>右,光反应迟钝,继而昏迷,查脑脊液压力>400mmH_2O,白细胞5个,蛋白180mg/dl,糖
1-year-old baby boy, convulsions in January, walking difficulties admitted to hospital for half a month, denied contact history of tuberculosis. Children with wilting, weight loss, when twitching pumping pumping muscle rigidity, lower extremity clonus, lasted about 3 minutes, often self-relieve, dry skin, anterior fontanelle soft, double pupil and other large Park, light reflection exists, Neck strong; no cardiopulmonary special, scaphoid, lower extremity muscle tone low, with, knee tendon reflexes weakened. According to Guillain-Barre syndrome encephalitis to anti-infection and symptomatic treatment, the next day children with shortness of breath, cyanosis, dyspnea, systemic muscle tremors, double pupil ranging from left to right, slow phototherapy, and then Coma, check cerebrospinal fluid pressure> 400mmH_2O, white blood cells 5, protein 180mg / dl, sugar