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Governance provisions of Article Five to take corresponding measures. Article XIX of infectious disease prevention and control institutions that received the outbreak of SARS or the report. The following control measures should be taken immediately: (a) timely arrived at the scene, the survey registered patients or close contacts of suspected patients; (b) of close contacts in accordance with the relevant provisions of the epidemiological investigation, and under the circumstances to focus on isolated or dispersed and isolated medical observation methods; (c) patients outside of medical institutions or suspected patients contaminated sites, articles for health treatment. Diershitiao patient or close contacts of suspected patients as well as other relevant units and personnel, shall meet the disease prevention and control institutions and medical institutions to take preventive measures. Refused to cooperate with, please the public security organs in accordance with the regulations the provisions of article forty-fourth to assist. Twenty-one patients died of SARS, the body dealing with the Communicable Disease Control Act, in accordance with the relevant provisions of eighteen and the Ministry of Health, Ministry of Civil Affairs The emergency notice Medical institutions, disease prevention and control institutions, when necessary,[link widoczny dla zalogowanych], conduct autopsy on the body. Twenty-two patients were found on vehicles or suspected patients. And exit at frontier ports and the people who, transport, cargo, containers, luggage, parcels and other emergency need for SARS control measures, in accordance with the provisions of the Ordinance the implementation of the thirty-eighth Article. Neonatal hypotonia 21 days (case discussion, see this issue page 59) Yang Xuefang MC Wu Hospital, Capital Medical University Affiliated Beijing Children's Medicine (100045) female patients medical record, 24 days, because of 2l-day L-3 in children with middle child, 39 weeks pregnant and birth, without asphyxia after birth is normal. Birth weight 2900g, the first three days of mental weak, low cry, feeding slowly, boat-like when both upper limbs movements, at a local hospital by choline ischemic encephalopathy recovery period L birth mother for the first 2 months of abortion, the first child for the April 2, spontaneous abortion (male to), no genetic family history of pregnancy were significantly during pregnancy, risk of pregnancy in March, After healing,[link widoczny dla zalogowanych], pregnancy in August with AGED examination: weight 2800g, length 54cm, head circumference 34cm, breathing 46 times / min, pulse 124 beats / min, the first skull 2cm × 2cm, temperature is normal, look no exception. Clear mind, the spirit is weak, a response to outside stimuli, the reaction is weak, physical activity self-less frog-like position, dry skin with scaling, dual-pupil and other large and round, light reflex sensitivity, no abnormal heart and lung auscultation, abdominal soft, liver and spleen ribs no time, low limbs, muscle tone, sucking, rooting reflex is weakened, grip, traction, embrace, cross-stretch reflex, and other physiological effects were not elicited. Laboratory tests: blood, urine normal. Electrolytes: potassium, sodium, chloride, calcium, magnesium, blood sugar were normal. Renal function: BUNI. 8mmoL / L (normal 1.77.1),[link widoczny dla zalogowanych], Cr34pmoL / L (27-132). ALT61IU / L, AST30IU / L. Blood gas normal. CSF: cells 0, sugar 1.8mmoL / L, chloride l16mmoL / L,[link widoczny dla zalogowanych], protein 0.62g,, L. ECG, EMG, chest X-ray, EEG, head B-were normal. Fundus normal. TORCH tests (cytomegalovirus, rubella, herpes simplex virus IgM) were negative, blood culture negative. Head cT: dual frontal and temporal lobe brain parenchyma density reduction, cT value 19.019.7Hu. Thyroxine: T376pg / L, T473mmoL / L,[link widoczny dla zalogowanych], TSHI7.2mg / L were within the normal range. Children were not special treatment after admission, limit milk, infusion, and spiritual responses gradually increased, is sensitive to outside stimuli, feeding improved muscle tone returned to normal limbs, weight gain, length of stay 24 days automatically discharged. 1 month after discharge, the spirit appeared weak, the reaction is poor, with frequent seizures and death. Thinking Discussion Questions: 1. This case features which lI Fou bed? Differential diagnosis of what should be done? 2. What to do further checks? 3. Diagnosis of what disease? (2o02-11.11 Received) [Lvpei Bin braided hair]
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