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患儿,男9岁,于1998年5月17日以转移性右下腹痛3天入院.查体:T37.9℃,P90/min,R20/min,BP12/8kPa.右下腹肌卫、压痛,无反跳痛.实验室检查:血WBC:8.6×10~9/L,N:0.62%,L:0.38%.入院诊断:急性阑尾炎.即在硬膜外麻醉下行阑尾切除术.术中见:腹腔无渗出,阑尾轻度充血水肿,表面无脓苔、纤维素附着,常规行的尾切除,术后剖开阑尾,可见数十条蛲虫在腔内蠕动.术后诊断:阑尾蛲虫病.经抗感染、补液、应用抗蛲虫药,住院7天痊愈出院.讨论:阑尾蛲虫病实属罕见.蛲虫为乳白色,细如
Children, male, 9 years old, were admitted to hospital with metastatic right lower quadrant abdominal pain for 3 days on May 17, 1998. Physical examination: T37.9 ℃, P90 / min, R20 / min, BP12 / , No rebound pain laboratory tests: blood WBC: 8.6 × 10 ~ 9 / L, N: 0.62%, L: 0.38%. Admission diagnosis: acute appendicitis, ie appendectomy under epidural anesthesia. See: intraperitoneal no exudation, appendicitis mild congestion and edema, the surface without pus moss, cellulose attachment, the conventional line tail resection, open the appendix after surgery, showing dozens of pinworm peristalsis in the cavity .Postoperative diagnosis: the appendix Enterobiasis. After anti-infective, rehydration, the application of anti-worm drugs, hospitalized 7 days cured. DISCUSSION: Apocrine enteropathy is rare, the pinworm is milky white, thin as