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患儿,女,11岁。腹痛20余d,外院诊断为肠结核。经治疗15d后来院收住。入院体检 体温37℃,脉博80次/min,呼吸20次/min,血压13/8KPa,轻度贫血貌。全身皮肤无出血点,浅表淋巴结不肿大。心、肺听诊正常。右上腹压痛明显伴有肌卫,肝在肋下2cm,触痛阳性。外周血化验:白细胞计数16.0×10~9/L,中性粒细胞0.78,淋巴细胞0.22。腹水化验:蛋白十,细胞计数358/mm,中性粒细胞0.92。确诊:原发性腹膜炎。
Children, female, 11 years old. Abdominal pain more than 20 d, outside the hospital diagnosed as intestinal tuberculosis. After treatment for 15 days to hospital admission. Admission examination Physical temperature 37 ℃, Pulse Bo 80 times / min, breathing 20 times / min, blood pressure 13 / 8KPa, mild anemia appearance. Whole body skin without bleeding, superficial lymph nodes are not swollen. Heart, lung auscultation normal. Right upper quadrant tenderness was obviously accompanied by myopathy, liver in the ribs 2cm, tenderness positive. Peripheral blood test: white blood cell count 16.0 × 10 ~ 9 / L, neutrophils 0.78, lymphocytes 0.22. Ascites test: protein ten, cell count 358 / mm, neutrophils 0.92. Diagnosis: primary peritonitis.