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病例摘要杜某,女,14岁,学生,主诉因间断性手足搐搦4年于1985年4月入院. 患者于4年前发生手足搐搦,此后反复发作.初期数月1次,以后渐频繁,近半年每天均有发作.多无明显诱因,有时与劳累或情绪波动有关.发作时先感口角发紧、手足发麻,随即出现手足抽搐,双手呈鸡爪样和双足跖屈.无意识丧失、二便失禁、头痛或全身抽搐,发作历时1～5小时,自行缓解.近2年乏力感及记忆力减退,发病以来无骨痛、骨折,也未诊治.自幼间断口服钙片和鱼肝油,坚持服药期间发作较少、较轻.12岁初潮,以后一直
Case Summary Dumou, F, 14 years old, student, chief complaint of intermittent tetany due to 4 years in April 1985. The patient had tetany 4 years ago, after repeated episodes of the first few months 1, after more frequent, Nearly half of every day have seizures .And no obvious incentive, sometimes with fatigue or mood swings related to the onset of the first sense of mouth tightness, hand and foot numbness, and then hand-foot convulsions, hands were chicken-like and bipedal flexor .Inconscious loss , Two incontinence, headache or generalized convulsions, episodes lasted 1 to 5 hours, relieve itself .2 years of fatigue and memory loss, no pain, fracture, nor diagnosis and treatment since the onset of childhood intermittent oral calcium tablets and cod liver oil, Persist in taking seizures during the less, less .12-year-old menarche, has been