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小儿舞蹈病是风湿病的一种主要表现,本病预后一般良好,少数可引起猝死,现报告一例如下: 女孩,5岁,因四肢舞动伴不规则发热4天入院。四天前开始不规则发热,四肢舞动,不能持物,精神紧张,幻觉幻视,话多,睡眠不安,无抽搐、昏迷。既往体健,无游走性关节疼痛,否认外伤及传染病接触史。查体:T39.8℃,P156次/min,R28次/min,神清,回答问题准确,四肢不自主舞动,不能持物。面部表情兴奋、紧张、甚至恐佈。无挤眉弄眼、伸舌缩颈表现。咽红、扁桃体Ⅱ°肿大;心界不大,心音有力,律齐,
Pediatric chorea is a major manifestation of rheumatism, the prognosis of this disease is generally good, a few can cause sudden death, are reported as follows: a girl, 5 years old, due to extremities dancing with irregular fever 4 days admission. Four days ago began irregular fever, limbs dancing, can not hold things, nervousness, hallucinations, words, sleep disturbances, no convulsions, coma. Past physical health, no migratory joint pain, denied trauma and infectious disease exposure history. Physical examination: T39.8 ℃, P156 times / min, R28 times / min, God clear, accurate answer questions, limbs involuntary movements, can not hold material. Facial expressions excited, nervous, and even terrified. No wink, eye neck necking performance. Throat, tonsil Ⅱ ° enlargement; heart is not strong, strong heart sound, law Qi,