誤診2次的兒童線粒體腦肌病伴高乳酸血癥和卒中樣發(fā)作綜合征1例報告
發(fā)布時間:2018-02-16 20:06
本文關鍵詞: 卒中樣發(fā)作 MELAS 高乳酸血癥 線粒體腦肌病 早期臨床表現(xiàn) 胃內(nèi)容物 程中 慢性淺表性胃炎 代謝性肌病 病理征陰性 出處:《臨床神經(jīng)病學雜志》2017年04期 論文類型:期刊論文
【摘要】:正線粒體腦肌病伴乳酸血癥和卒中樣發(fā)作綜合征(MELAS)屬于兒科罕見病,其早期臨床表現(xiàn)不典型,極易誤診,F(xiàn)報告1例誤診2次的MELAS病例如下。1病例男,13歲3個月,因"陣發(fā)性視物不清1 d,抽搐2次"于2014年6月23日入院;純2013年08月11日無明顯誘因下出現(xiàn)陣發(fā)性劍突下疼痛,伴嘔吐,次數(shù)多,為胃內(nèi)容物。病程中伴發(fā)熱2 d,體溫38~39℃。本院門診行胃鏡提示
[Abstract]:Mitochondrial encephalomyopathy with lactoacidemia and stroke like attack syndrome is a rare disease in pediatrics. Its early clinical manifestations are atypical and easily misdiagnosed. A case of MELAS with 2 misdiagnoses is reported as follows: 1 case: male is 13 years old and 3 months old. The patient was admitted to hospital on June 23rd 2014 because of "paroxysmal visual confusion for 1 day, twitching twice". On August 11th 2013, paroxysmal subscleral pain, accompanied by vomiting, appeared in the children without obvious inducement. For gastric contents. Fever for 2 days, body temperature 38 ~ 39 鈩,
本文編號:1516332
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