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患儿女,3岁,以双下肢不能站立10余天,发热伴咳嗽2d来诊。10d前患儿就出现两腿无力,站立困难,双下肢x线摄片未发现病变。因发热、咳嗽,门诊拟诊(1)支气管肺炎,(2)类风湿性关节炎收入院。经对症、抗炎治疗2周后咳嗽、发热好转,但仍不能站立。体检:全身皮肤及粘膜未见出血点,全身浅淋巴结未触及肿户,心肺正常,肝肋下2.0cm脾脏未触及。神经系统检查无异常。血红蛋白110g/L,白细胞6.5×10~9/L,中性
Children with children, 3 years old, can not stand for more than 10 days with both lower limbs, fever and cough 2d visit. 10d before the onset of weakness in children with legs, standing difficulties, both lower extremities x-ray film was not found lesions. Due to fever, cough, outpatient consultation (1) bronchopneumonia, (2) rheumatoid arthritis income hospital. After symptomatic, anti-inflammatory treatment of cough after 2 weeks, fever improved, but still can not stand. Physical examination: no skin and mucosal bleeding, systemic superficial lymph nodes did not touch the swollen, normal heart and lung, liver ribs 2.0cm spleen not touched. No abnormal neurological examination. Hemoglobin 110g / L, white blood cells 6.5 × 10 ~ 9 / L, neutral