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患者男性,26岁,农民,入院前1周出现脐周疼痛伴腹胀,呕吐胃内容物2次,无腹泻及脓血便,无类似发作史。体检:皮肤巩膜无黄染,未见肝掌及蜘蛛痣,全腹饱满无压痛,肝脾未触及,移动性浊音阳性,双下肢不肿。实验室检查:肝肾功能及电解质均正常,腹水常规检查示漏出液,外周血、尿、粪便常规均正常。肝脾胆B超检查示:腹水,肝胆脾未见异常。入院第3 d排出成团蛔虫数十条,腹痛缓解,第4 d腹水消失。诊断肠道蛔虫症,行驱虫治疗痊愈出院。
Male patient, 26 years old, farmer. One week before admission, umbilical pain associated with abdominal distension, vomiting of stomach contents 2 times, no diarrhea and pus and blood, no history of similar attacks. Physical examination: sclera skin without yellow dye, no liver palms and spider nevus, full abdominal no tenderness, liver and spleen not touched, mobility dullness positive, both lower extremity swollen. Laboratory tests: liver and kidney function and electrolytes are normal, ascites routine examination showed leakage of fluid, peripheral blood, urine, normal stool routine. Liver and spleen B-ultrasound showed: ascites, hepatobiliary and spleen no abnormalities. On the 3rd day of admission, there were dozens of roundworm excreted into groups. The abdominal pain relieved and the ascites disappeared on the 4th day. Diagnosis of intestinal ascariasis, line deworming cure discharged.