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1病例患儿,女,5月,以“竖头不稳,反应迟钝3月余”为代主诉入院。病例特点:1.高危因素:系G3P1,剖宫产。2.早期表现:四肢少动,头后背,易呛奶、吐奶。3.生长发育异常:现5个月仍竖头不稳,追听迟钝,不翻身,不会坐,双足外翻。4.反应迟钝,耳位低,肌张力偏低。5.颅脑CT示:脑白质过少。临床诊断:脑性瘫痪(高危)。
1 cases of children, female, in May, “head unsteady, unresponsive for more than 3 months ” as the main complaint on admission. Case features: 1. Risk factors: Department of G3P1, cesarean section. 2. Early performance: less limbs, head back, easy to choking milk, spit milk. 3. Growth and development anomaly: Is still 5 months are still unsteady, chasing listening slow, do not stand up, will not sit, feet eversion. 4. Unresponsive, low ear, muscle tension is low. 5 brain CT showed: white matter too little. Clinical diagnosis: Cerebral palsy (high risk).