论文部分内容阅读
例1、男,14个月,因烦躁、多饮、多尿10余天就珍,疑诊为“尿崩症”,给以颅骨拍片,查尿比重等检查,未见异常。复诊时追问病史,四个月前在当地医院诊断为“缺钙”,“佝偻病”给以浓缩鱼肝油1瓶(10毫升),每次二滴,每天三次口服,葡萄糖酸钙每次一片,每天三次口服。2个月前肌注维丁胶性钙16支,20天前又肌注维生素 D_330单位每周一次,共用3次。体检:身高71厘米,体重8.2公斤,发育差,神清,精神差,面色发白,皮肤无黄疸,前囱近闭,出牙4个,心、肺、腹无异常。化验检查:血钙2.8mmol/L,血磷1.6mmol/L,碱性磷酸酶160u/L,尿钙++,Hb95g/L,
Example 1, male, 14 months, due to irritability, polydipsia, polyuria more than 10 days Jane, suspected as “diabetes insipidus” to give the skull film, check the urine weight and other tests, no abnormalities. Medical history was sought at referral, diagnosed as “calcium deficiency” at a local hospital four months ago, and 1 bottle (10 ml) of codified cod liver oil was given to ROC every two drops three times daily. Calcium gluconate was administered one tablet per day Oral three times. Two months ago, intramuscular intravenous vitamin D 16, 20 days before the intramuscular injection of vitamin D_330 units once a week, sharing 3 times. Physical examination: height 71 cm, weight 8.2 kg, poor development, clear spirit, poor spirit, pale complexion, no jaundice in the skin, the front chimney close, teeth 4, heart, lung, abdomen without exception. Laboratory tests: calcium 2.8mmol / L, phosphorus 1.6mmol / L, alkaline phosphatase 160u / L, urinary calcium ++, Hb95g / L,