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患儿:女,4个月。因生后腹胀、腹部肿物入院。患儿为足月顺产,第二胎,出生体重不详。家族中无双胎史。体查:发育尚可,营养欠佳,呈消耗状,腹胀如鼓,腹壁发亮,静脉显露,右中下腹部可触及一约20×25×15cm大小肿物,表面不光。质不均,与周围组织界线不清,活动度小。血红蛋白143g/L,白细胞13.0×10~9/L,中性0.66,淋巴0.34,血小板106×10~9/L,AFP,F8836吸光度0.28,HBsAg阴性。超声波检查:腹腔内有一巨大混合性肿物。X线腹平片见“蚓状钙化斑”。诊断“畸胎瘤并不全性肠梗阻”。住院第四天行剖腹探查术:见肿物位于腹膜后,肿物35×20×25cm大小,穿刺减压后放出清亮液约2000ml,剪开囊腔见一不完整胎儿,皮肤完整,有躯
Children: Female, 4 months. Due to postnatal abdominal distension, abdominal mass admission. Children with full-term follow-up, the second child, birth weight unknown. No twin history in the family. Physical examination: development is acceptable, poor nutrition, was consumption, abdominal distension such as drums, abdomen shiny, venous revealed right middle and lower abdomen can reach about 20 × 25 × 15cm size of the tumor, the surface is not only. Unequal quality, unclear boundaries with the surrounding organizations, activity is small. Hemoglobin 143g / L, white blood cells 13.0 × 10 ~ 9 / L, neutral 0.66, lymphatic 0.34, platelet 106 × 10 ~ 9 / L, AFP, F8836 absorbance 0.28, HBsAg negative. Ultrasonography: There is a huge mixed tumor in the abdominal cavity. X-ray abdominal plain see “worm-like calcified plaque.” Diagnosis of “teratoma and not intestinal obstruction.” The fourth day of hospital laparotomy exploration: see the tumor located in the retroperitoneum, the size of the tumor 35 × 20 × 25cm, puncture decompression release clear liquid about 2000ml, cut open the cysts see an incomplete fetus, the skin is complete,