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患儿姜娜,2周岁,于1990—12—6入院。4个月前,患儿阴道脱出黄豆粒大小咖啡色肿物,曾在当地医院抗炎疗后肿物脱落二次无出血,1周后又复发,如蚕豆大小,表面不光滑暗紫色似葡萄状,可自行还纳,伴有少量脓性分泌物,质稀有臭味。入院查体:体温36.4℃,脉搏100次/分,发育正常,营养中等,心肺腹部等均正常,外阴发育呈幼女型。肛诊:触及5cm×3cm×3cm索条肿物,质软,子宫及附件触不清。实验室检查:白细胞数1.42×10~9/L,中性粒细胞72％,淋巴细胞28％,血红蛋白11.5g/L,红细胞数3.10×10~(12)/L,出凝血时各1分。分泌物涂片:葡萄双球菌阴性,菌培养为表皮葡萄球菌生长。胸片X线表示:两肺纹理增强。B超:于耻骨联上可见一椭圆肿物,完整内呈细小葡萄状回声。于1990—12—25实施次广泛子官加右
Children Jiang Na, 2 years old, admitted to the hospital from December 1990 to December 1990. 4 months ago, the size of children with vaginal prolapse of coffee beans brown granules, once in the local hospital anti-inflammatory treatment of tumor shedding two times without bleeding, a week later relapse, such as the size of broad beans, the surface is not smooth dark purple grape-like, Can be self-satisfied, accompanied by a small amount of purulent secretions, rare smell. Admission examination: body temperature 36.4 ℃, pulse 100 beats / min, normal development, moderate nutrition, heart and lung abdomen are normal, genital development was young girl type. Rectal examination: touching 5cm × 3cm × 3cm cord tumor, soft, uterine and appendages touch unclear. Laboratory tests: 1.42 × 10 ~ 9 / L leukocytes, 72% neutrophils, 28% lymphocytes, 11.5g / L hemoglobin and 3.10 × 10 ~ (12) / L red blood cells. . Secretion smear: Gram-negative bacteria culture Staphylococcus epidermidis growth. X-ray chest: enhanced lungs texture. B super: in the pubic symphysis can be seen on an oval tumor, showed a complete small grape-like echo. In 1990-12-25 implementation of a wide range of sub-officer plus right