论文部分内容阅读
病历号836283,患儿男,13岁。83年5月5日以发烧腹痛八天入院:八天前患儿突然起病,发烧持续不退,伴轻咳寒战、右上腹阵发性疼痛,呕吐一次及鼻衄少量,余(-)。既往无肝大及胆道疾病史。查体:T39.4℃,P84次/分,R25次/分,BP90/60mmHg,神志清,自动体位,无黄疸及皮疹,咽红、心肺(-),腹平软,肝肋下及剑下各1.0cm,质中,触痛(-)。化验:Hb11.5g%,WBC13400mm~3~6500/mm~3,N74~8990,L10~17%,E1~2%,M1%,尿三胆(-),大便虫卵2~4,住院后按上感,肠系膜淋巴结炎、肠蛔虫症处理。三天后体温降至正常,但呕吐次频,内容为黄
Medical record number 836283, children male, 13 years old. May 5, 83 to abdominal pain with fever admission for eight days: eight days before the onset of a sudden onset of fever in children, with persistent cough, cold right upper quadrant paroxysmal pain, vomiting and a small amount of epistaxis, I (-) . Past history of liver disease and bile duct disease. Examination: T39.4 ℃, P84 beats / min, R25 beats / min, BP90 / 60mmHg, conscious clear, automatic position, no jaundice and rash, throat red, The next 1.0cm, quality, tenderness (-). Laboratory: Hb11.5g%, WBC13400mm ~ 3 ~ 6500 / mm ~ 3, N74 ~ 8990, L10 ~ 17%, E1 ~ 2%, M1% According to the sense of mesenteric lymphadenitis, intestinal roundworm disease treatment. Three days after the temperature dropped to normal, but vomiting frequency, the content is yellow