轻度脑发育不良,被诊为运动精神发育不全,3岁不会站立,不会行

患者性别：女 患者年龄：3详细病情及咨询目的：门诊病历 ====姓名:李毓琛--------------------------------------------------------------------------------性别:女--------------------------------------------------------------------------------年龄:3岁--------------------------------------------------------------------------------婚否:未婚--------------------------------------------------------------------------------T2:lyxlyxlyx@qianlong.com--------------------------------------------------------------------------------孕期有什么现象？:呕吐，少量流血，胎盘前置后转正常，七月而产--------------------------------------------------------------------------------孕期用过的药物:无--------------------------------------------------------------------------------孕期患过什么疾病？:无--------------------------------------------------------------------------------孕期接受过什么样的治疗？:无--------------------------------------------------------------------------------孕期是否从事过强重体力劳动:否--------------------------------------------------------------------------------孕期是否接触过有毒害性化学物质或放射性无素:否--------------------------------------------------------------------------------孕期有无跌打损伤:无--------------------------------------------------------------------------------孕期胎儿位置:胎盘前置后转正常--------------------------------------------------------------------------------孕期胎儿位置的矫正结果:无矫正--------------------------------------------------------------------------------生前一个月血压:不明--------------------------------------------------------------------------------属于第几胎？:二胎--------------------------------------------------------------------------------胎前有无流产史:无--------------------------------------------------------------------------------是单胎还是多胎:单胎--------------------------------------------------------------------------------有无羊水早破:有--------------------------------------------------------------------------------从轻度腹痛到出生有多长时间:30小时--------------------------------------------------------------------------------体重:1.500--------------------------------------------------------------------------------是否脐带绕颈:否--------------------------------------------------------------------------------是否早产:是--------------------------------------------------------------------------------晚产:否--------------------------------------------------------------------------------难产:否--------------------------------------------------------------------------------刚生下来是否会哭:是--------------------------------------------------------------------------------是否窒息缺氧:否--------------------------------------------------------------------------------是否有产伤或外伤:否--------------------------------------------------------------------------------出生后2岁以前是否有高烧:是--------------------------------------------------------------------------------黄疸:是--------------------------------------------------------------------------------脑炎:否--------------------------------------------------------------------------------肺炎:否--------------------------------------------------------------------------------抽风:否--------------------------------------------------------------------------------外伤:否--------------------------------------------------------------------------------煤气中毒:否--------------------------------------------------------------------------------溺水:否--------------------------------------------------------------------------------昏迷:否--------------------------------------------------------------------------------是否有染色体异常:否--------------------------------------------------------------------------------惊吓:是--------------------------------------------------------------------------------是否有遗传因素:否--------------------------------------------------------------------------------是否有脑萎缩:否--------------------------------------------------------------------------------脑积水:否--------------------------------------------------------------------------------软化灶:否--------------------------------------------------------------------------------脑发育不良/不全:是--------------------------------------------------------------------------------软化:否--------------------------------------------------------------------------------硬化:否--------------------------------------------------------------------------------发育不良/不全:是--------------------------------------------------------------------------------正常:否--------------------------------------------------------------------------------脑电图或脑地形图是否正常:否--------------------------------------------------------------------------------轻度异常:是--------------------------------------------------------------------------------中度异常:否--------------------------------------------------------------------------------重度异常:否--------------------------------------------------------------------------------是否腰软:是--------------------------------------------------------------------------------不能坐立:否--------------------------------------------------------------------------------不会翻身:否--------------------------------------------------------------------------------不会行走:是--------------------------------------------------------------------------------流口水:是--------------------------------------------------------------------------------不会讲话:否--------------------------------------------------------------------------------只可发单音:否--------------------------------------------------------------------------------失明:否--------------------------------------------------------------------------------斜视:是--------------------------------------------------------------------------------对视:是--------------------------------------------------------------------------------脚尖点地:是--------------------------------------------------------------------------------剪刀步:是--------------------------------------------------------------------------------协调能力差:是--------------------------------------------------------------------------------语言表达差:否--------------------------------------------------------------------------------胆小易惊:是--------------------------------------------------------------------------------手不拿物:否--------------------------------------------------------------------------------强直:否--------------------------------------------------------------------------------痉挛:否--------------------------------------------------------------------------------肌张力高:是--------------------------------------------------------------------------------肌肉萎缩:否--------------------------------------------------------------------------------烦躁:是--------------------------------------------------------------------------------多动:是--------------------------------------------------------------------------------打人:否--------------------------------------------------------------------------------注意力不集中:否--------------------------------------------------------------------------------不接受教育:否--------------------------------------------------------------------------------性格孤僻:否--------------------------------------------------------------------------------计算能力差:是--------------------------------------------------------------------------------迟缓:是--------------------------------------------------------------------------------大小便不知:否--------------------------------------------------------------------------------智力低下:否--------------------------------------------------------------------------------咬人或咬自己:否--------------------------------------------------------------------------------摔东西:是--------------------------------------------------------------------------------吃手指头/东西:否--------------------------------------------------------------------------------眨眼睛:是--------------------------------------------------------------------------------耸肩膀:否--------------------------------------------------------------------------------不由自主的抽动:否--------------------------------------------------------------------------------反复感冒:否--------------------------------------------------------------------------------四肢无力:否--------------------------------------------------------------------------------肌肉软弱无弹性:否--------------------------------------------------------------------------------突然发病:是--------------------------------------------------------------------------------手脚不停:否--------------------------------------------------------------------------------缺乏自制力:是--------------------------------------------------------------------------------头后背:是--------------------------------------------------------------------------------手后背:否--------------------------------------------------------------------------------单侧运动障碍:是--------------------------------------------------------------------------------上肢运动障碍:否--------------------------------------------------------------------------------下肢运动障碍:是--------------------------------------------------------------------------------是否为近亲结婚:否--------------------------------------------------------------------------------配偶有无重大疾患:无--------------------------------------------------------------------------------父母有无吸毒史:无--------------------------------------------------------------------------------有无癫痫史:无--------------------------------------------------------------------------------有无进肌营养不良史:无本次发病及持续的时间：一直这样病史：无