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患儿男,3岁,2008年4月30日因“右腹股沟区可复性包块2年,不能还纳16 h”急诊收住院。患儿因腹股沟区包块疼痛,哭闹不止,伴呕吐,呕吐物为胃内容物。入院查体:体温正常,患儿站立位右腹股沟区可及包块4 cm×3 cm,质地较硬,有压痛,包块未降入阴囊,周围皮肤无红肿,包块手推不能还纳。立位腹平片检查提示:低位小肠梗阻,右侧肠管可见液平,右侧腹股沟区上方可见4 cm×2 cm范围膨胀肠管影。急诊局部神经阻滞麻醉+强化下行右腹股沟嵌顿疝手术,取右腹股沟区内、外环间平行于腹股沟韧带之切口,
Children male, 3 years old, April 30, 2008 due to “Right groin area refolding mass 2 years, can not return 16 h ” Emergency admission hospital. Children with inguinal area mass pain, crying more than with vomiting, vomit for the stomach contents. Admission examination: normal body temperature, the child standing right groin area can reach mass 4 cm × 3 cm, hard texture, tenderness, mass did not fall into the scrotum, no swelling around the skin, the mass can not be returned by hand . Standing abdominal plain film examination tips: low intestinal obstruction, the right bowel can be seen in the level of the right groin area above the 4 cm × 2 cm range of intestinal bowel. Emergency local nerve block anesthesia plus intensive right inguinal hernia surgery, take the right groin area, the outer ring parallel to the inguinal ligament incision,