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男,8岁。因腹痛、腹胀、呕吐反复发作4月余入院。病初间歇发热伴腹泻,便稀无脓血,每日3～4次。随后腹痛、腹胀、呕吐反复发作,发作时脐周阵发性绞痛,呕吐频繁,非喷射性,为含胆汁的胃内容物,肛门不排气,无大便。曾在外院以“肠结核伴不全梗阻”治疗1个月,因症状逐渐加重而来我院。体检:T 37.5℃,P 102次/分,BP12/8kPa,体重20kg。神清,消瘦,贫血貌,颈两侧可触及黄豆大小淋巴结多枚。心肺(-)。腹膨隆,可见肠型,脐周轻压痛,无肌卫,肠鸣音亢进,腹水征(+),肝脾未触及
Male, 8 years old. Due to abdominal pain, abdominal distension, vomiting recurrent episodes of more than 4 admitted. Intermittent fever at the beginning of a fever with diarrhea, it is rare without sepsis, 3 to 4 times daily. Followed by abdominal pain, abdominal distension, recurrent vomiting, onset of umbilical paroxysmal colic, frequent vomiting, non-jet, for the contents of the stomach with bile, anus does not exhaust, no stool. Once outside the hospital to “intestinal tuberculosis with incomplete obstruction” treatment for 1 month, due to symptoms gradually increased to our hospital. Physical examination: T 37.5 ℃, P 102 beats / min, BP12 / 8kPa, weight 20kg. Shen Qing, weight loss, anemia appearance, the neck can reach the sides of the size of soybean-sized lymph nodes. Cardiopulmonary (-). Abdominal bulging, visible intestinal type, umbilical tenderness, no musculus, bowel sounds hyperthyroidism, signs of ascites (+), liver and spleen not touched