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患儿男,3 10/12岁。因中上腹持续性疼痛7小时,伴呕吐4次就诊。病前两小时吃龙虾数只。查体:神志清,体温38℃,无皮疹,咽部充血明显,心、肺(-),腹平软,中上腹轻压痛。诊断为“上呼吸道感染”、“肠系膜淋巴结炎”?给予对症处理。患儿腹痛未缓解,4小时后全身出现瘙痒性皮疹再次就诊。追问其家族史,其母曾于8年前多次反复发作中上腹疼痛伴
Children male, 3 10/12 years old. Due to persistent pain in the upper abdomen 7 hours, accompanied by vomiting 4 times treatment. Eat lobster two hours before disease only. Physical examination: conscious mind, body temperature 38 ℃, no rash, throat congestion, heart, lung (-), abdominal soft, mild tenderness in the abdomen. Diagnosis of “upper respiratory tract infection”, “mesenteric lymphadenitis?” Give symptomatic treatment. Children with abdominal pain did not ease, 4 hours after the whole body itching rash again treatment. Asked about their family history, his mother had repeated episodes of abdominal pain eight years ago