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患儿魏×,男,10个月,于1963年3月23日因哭闹一天,并有呕吐及昏迷,急诊入院。3月22日其父曾抱患儿高举,下午开始不爱吃奶,晚间一阵阵哭闹不眠,并有发烧。次日晨出现喷射样呕吐,始吐为食入之食物,继之吐绿水样物,中午出现精神淡漠。下午卫生所检查体温不高,给服莨菪酊一次,服后即吐出。18点有少量血水样液自肛门流出三次,总量约10毫升,并出现昏迷,始来住院。平素患儿身体较弱,食母乳加食牛乳。父母健康。检查:体温36.7℃(腋下),脉搏100次/分,呼吸26次/分,发育营养中等,呈轻度昏迷,轻度脱水状态。瞳孔缩小如小米粒大,对等,对光反应弱。舌有薄苔,扁桃腺不肿大。心、肺正常。生理反射皆可引出,巴彬斯基征可疑。外科所见:腹膨
Children Wei ×, male, 10 months, March 23, 1963 crying for a day, and vomiting and coma, emergency admission. On March 22, his father held a child-raised high and began not to eat milk in the afternoon. During the night, he burst into tears and went into sleeplessness and had a fever. The next morning there spray-like vomiting, spit food intake, followed by spit green water samples, noon apathy. In the afternoon, the health center inspected the temperature is not high, giving a serving of tinnitus tincture, vomiting after serving. 18:00 a small amount of bloody fluid from the anus outflow three times, the total amount of about 10 ml, and a coma, came to hospital. Children usually have weaker, breast milk and milk. Parents health. Check: Body temperature 36.7 ℃ (armpit), pulse 100 beats / min, breathing 26 beats / min, the development of moderate nutrition, mild coma, mild dehydration. Miosis, such as small grains, reciprocal, weak response to light. Thin tongue tongue, tonsils do not enlarge. Heart, lungs normal. Physical reflection can lead to Babinski sign suspicious. Surgical findings: abdominal swelling