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患儿男,11岁。全身乏力1年,头晕、胸闷气短半年,眼与头痛半个月,昏迷2天,抽搐10次,心跳呼吸停止3次,于1985年12月22日入院。查体:体温37.8℃。浅昏迷状态。血压左上肢为零,右上肢为220/170,下肢为290/140mmHg。左颈动脉、左桡动脉搏动消失。左颈部、左锁骨上窝、左季肋下及脐至剑突之间可闻及血管杂音并触及震颤。心搏弥漫,心界增大,左界乳线外1.5cm。心尖部Ⅱ收缩期杂音。两侧巴氏征(+)。实验室检查:白细胞25,800,中性90％,淋巴10％。血红蛋白8.3g/dl,红细胞300万。尿蛋白(+++),白细胞少数,颗粒管型(+)。
Children male, 11 years old. Mild fatigue for 1 year, dizziness, chest tightness, shortness of breath for six months, eye and headache for half a month, coma for 2 days, convulsions 10 times, heart rate breathing stopped 3 times, in December 22, 1985 admission. Physical examination: body temperature 37.8 ℃. Shallow unconscious state. Blood pressure left upper limb is zero, right upper limb is 220/170, lower limb is 290 / 140mmHg. Left carotid artery, left radial artery pulse disappeared. The left neck, left supraclavicular fossa, left quarter ribs and umbilical to xiphoid can be heard between the vascular murmur and touch tremor. Heartbeat pervades heart increased, left margin milk line 1.5cm. Apical systolic murmur. Patches on both sides (+). Laboratory tests: 25,800 leukocytes, 90% neutral, lymphatic 10%. Hemoglobin 8.3g / dl, 3 million red blood cells. Urinary protein (+++), a small number of leucocytes, granular tube (+).