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患儿诉腹痛厌食两天,被其母无意中发现腹部有包块,五天后就医,发病后大小便正常。 查体 体温37℃,脉搏106次/分,呼吸24次/分,血压98/62毫米汞柱。血红蛋白11克,白细胞8,300,中性72％,淋巴28％。心肺肝脾无异常。下腹部稍膨隆.耻骨联合上方略偏左侧可触及一拳头大较硬的包块,可稍向左右推动,上下动度较小.向上推时疼痛加重。局部有压痛,无反跳痛。肿块区扣浊、无移动性浊音。外阴发育正常。肛诊肿块位置较高,实质感,有触痛.可触及子宫。诊断:
Children complained abdominal pain anorexia for two days, was her mother accidentally found in the abdomen mass, five days after admission, after the onset of normal urine. Body temperature 37 ℃, pulse 106 beats / min, breathing 24 beats / min, blood pressure 98/62 mm Hg. 11 grams of hemoglobin, 8,300 leukocytes, 72% of neutral, lymph 28%. No abnormal heart and lung and spleen. The lower abdomen slightly bulging .Plus pubic symphysis slightly above the left side of the left can reach a fist larger hard mass, can be slightly pushed to the left and right, up and down less. Local tenderness, no rebound tenderness. Tuizhu buckle, no mobility dullness. Genital development normally. Rectal lumps higher position, real sense, tenderness. Can reach the uterus. diagnosis: