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患儿女,50天。于前天晚上出现呕吐,共4次,为乳汁,无阵发性哭闹或面色突然改变现象,神委、拒乳。今晨便血4次,暗红色,与大便混和,量甚多。近1周来大便频,黄色糊状,不带血或粘液。患儿系第1胎,足月平产,无产伤窒息史。生后母乳喂养,无服任何药物史,母孕期体健,无出血倾向。无出血性疾病家族史。体检:体温37℃,点头呼吸,呻吟,一般情况差,面色苍白,四肢凉。皮肤粘膜无出血点。前囟略饱满,右腹有触痛及肌卫,似有包块,边界不清。肛门指检:直
Children with children, 50 days. In the night before the vomiting, a total of 4 times, as milk, no paroxysmal crying or looking suddenly change the phenomenon of God appoint, refuse milk. This morning, blood in the stool 4 times, dark red, mixed with the stool, the amount of many. Nearly a week to stool frequency, yellow paste, no blood or mucus. Children in the first child, full-term labor, no history of asphyxia. Breastfeeding after birth, without any medication history, pregnant motherhood, no bleeding tendency. No family history of hemorrhagic disease. Physical examination: body temperature 37 ℃, nodded his breath, moaning, the general situation is poor, pale, cold limbs. Skin and mucous membrane without bleeding point. A little full of anterior fontanel, right tenderness and myofacial tenderness, it seems a mass, the border is unclear. Anal fingering: Straight