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患儿黄×,女,10岁,住院号77-11050。入院前二天患儿突感脐周及右下腹呈持续性疼痛阵发性加剧伴发热。翌日,开始腹泻,一日内共泻四次,每次量少,呈黑绿色稀水样便,未混脓血,并呕吐1次,继之出现精神恍惚、谵语、昏迷,以毒痢急诊入院。查体:BP测不到,T39.4C,P178次/分,R30次/分。神志不清,呈深昏迷状态,面色苍白,口周发青,四肢厥冷,皮肤发花,瞳孔等大、等园,正常大小,对光反应存在。咽无充血,颈部柔软无抵抗,胸廓对称,心律齐,心音弱,心率178次/分
Children with yellow ×, female, 10 years old, hospital number 77-11050. Two days before admission, children with sudden sensation in the umbilical cord and right lower quadrant were persistent pain paroxysmal with fever. The next day, diarrhea began, a total of four days a day diarrhea, each less, was black and green watery stool was not mixed with abscess blood and vomiting 1, followed by trance, sufferers, coma, emergency hospital toxin dysentery . Examination: BP can not be measured, T39.4C, P178 times / min, R30 times / min. Unconscious, was a deep coma, pale, perioral blue, extremities Jueleng, skin flowers, pupils and other large, garden, the normal size, the existence of light response. Throat without congestion, soft neck without resistance, symmetry of the thorax, Qi Qi, weak heart sounds, heart rate 178 beats / min