误诊2次的儿童线粒体脑肌病伴高乳酸血症和卒中样发作综合征1例报告

发布时间：2018-02-16 20:06

  本文关键词： 卒中样发作 MELAS 高乳酸血症 线粒体脑肌病 早期临床表现 胃内容物 程中 慢性浅表性胃炎 代谢性肌病 病理征阴性 　出处：《临床神经病学杂志》2017年04期 　论文类型：期刊论文

【摘要】：正线粒体脑肌病伴乳酸血症和卒中样发作综合征(MELAS)属于儿科罕见病,其早期临床表现不典型,极易误诊。现报告1例误诊2次的MELAS病例如下。1病例男,13岁3个月,因"阵发性视物不清1 d,抽搐2次"于2014年6月23日入院。患儿2013年08月11日无明显诱因下出现阵发性剑突下疼痛,伴呕吐,次数多,为胃内容物。病程中伴发热2 d,体温38~39℃。本院门诊行胃镜提示
[Abstract]:Mitochondrial encephalomyopathy with lactoacidemia and stroke like attack syndrome is a rare disease in pediatrics. Its early clinical manifestations are atypical and easily misdiagnosed. A case of MELAS with 2 misdiagnoses is reported as follows: 1 case: male is 13 years old and 3 months old. The patient was admitted to hospital on June 23rd 2014 because of "paroxysmal visual confusion for 1 day, twitching twice". On August 11th 2013, paroxysmal subscleral pain, accompanied by vomiting, appeared in the children without obvious inducement. For gastric contents. Fever for 2 days, body temperature 38 ~ 39 鈩，

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