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患儿男性,3个月。因右侧腹股沟肿物1天而来院就诊。患儿病后无发热、呕吐及皮肤其他部分出血点等。查体:T36.5 ℃,R 30次/分,P 110次/分,体重5千克,神清,精神尚好,无贫血,周身皮肤及粘膜无黄染及出血,浅表淋巴结无肿大,前囟1.5 cm×1.5 cm平坦,张力不高,颈软,心肺正常,腹软、肝脾未触及,肠鸣音正常,右侧腹股沟可触及2 cm×2 cm大小肿物.不活动。拟诊为右侧腹股沟斜疝,收外科治疗1天,发现患儿扎针部位出血不止而请儿科会诊,考虑为迟发性维生素K缺乏。
Children with children, 3 months. Due to the right groin tumor 1 day to hospital. Children without fever after fever, vomiting and other parts of the skin bleeding and so on. Physical examination: T36.5 ℃, R 30 beats / min, P 110 beats / min, weight 5 kg, clear spirit, the spirit is good, no anemia, skin and mucous membranes without yellow dye and bleeding, superficial lymph nodes without swelling, Anterior fontanel 1.5 cm × 1.5 cm flat, tension is not high, neck soft, normal heart and lung, abdominal soft, liver and spleen not touched, normal bowel sounds, the right groin can reach 2 cm × 2 cm size of the tumor. To be diagnosed as the right inguinal hernia, received surgical treatment for 1 day, found bleeding in children with acupuncture points more than pediatric consultation, consider the delayed onset of vitamin K deficiency.