5岁小儿,因发热4小时,惊厥2次于夏季入院。査体:嗜睡状,DP30/10mmHg,下肢可见大理石花纹,脑膜刺激征阴性,肛查粪便镜检:WBC(+++),RB...

作者: tihaiku 人气: - 评论: 0
问题 5岁小儿,因发热4小时,惊厥2次于夏季入院。査体:嗜睡状,DP30/10mmHg,下肢可见大理石花纹,脑膜刺激征阴性,肛查粪便镜检:WBC(+++),RBC(+)。其惊厥可能的病因是
选项 A.Reye综合征 B.热性惊厥 C.化脓性脑膜炎 D.低钙惊厥 E.中毒性脑病
答案 E
解析 患儿夏季发病,血压下降,下肢出现大理石花纹,脑膜刺激征阴性,便常规白细胞3+。考虑为急性细菌性感染所致中毒性脑病。

相关内容:小儿,4小时,入院,査体,10mmHg,下肢,大理石,花纹,脑膜,阴性,肛查,粪便,镜检

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