Professor Wang Shouchuan treatment on 21 - 1 case of trisomy summary report.doc

 PAGE \* MERGEFORMAT 7 Professor Wang Shouchuan treatment on 21 - 1 case of trisomy summary report [Keywords:] by Wang Chuan; 21 - trisomy; dry Malnutrition A case report Dimou, female, 13 months, March 16, 2009 because of “two heads on the TV, stretch a more than a month after the bilateral hands,” first visit. Children in January 2009 in a hospital diagnosed as “toxic pneumonia”, high fever depending on the two eyes after bilateral hand extension, the treatment (specific drugs not available) more than half had no significant improvement in parents of children require an automatic discharge. is for children with cough array, weakness, no aversion to cold, fever, shortness of breath without wheezing , the two heads on the TV, bilateral hand extension, opisthotonus, low body temperature, do not want to eat, eat only a small amount of milk a day, every day about 30 mL, the size can, can sleep soundly. children because of birth special face in a hospital diagnosed as “21 - trisomy.” has a history of congenital heart disease, surgical treatment has been suffering from pneumonia, .1 years, has 5 times, birth height, body mass in the normal range. pregnant 1 production 1 full-term birth, pregnancy, mother of 28-year-old father of 30-year-old, non-consanguineous marriage, maternal illness during pregnancy no history, no poison, chemical exposure history. many times for check no exception. Physical examination: T lt;36 ℃, consciousness is still clear, apathetic, quiet and lack of exercise, lethargy, low sound of crying is weak, weak breathing, touching not caused by sucking lips. growth retardation, unresponsive, limbs not warm, eyes sunken eyes away from the widened, narrow eye fissure, flat nose collapse, neck stiffness, often out of extraoral tongue, item back was against the arcuate, low lung auscultation breath sounds lungs, heart murmur could be heard and the anterior abdominal depression, lack of subcutaneous fat, skin dry, lower extremity muscle streng