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临床资料:患儿,郝某,男,3岁,因剧烈腹痛4 h 于2006年4月23日21:35急诊入院。患儿于入院前4 h 无明显诱因出现腹痛,以脐周最明显,疼痛呈持续性剧痛,伴恶心、呕吐,呕吐物含咖啡色物质,无腹泻。查体:T39.0℃,P 140次/min,R 26次/min,BP 60/40 mmHg;神志清,精神差;双侧瞳孔等大等圆,对光反射存在;双肺呼吸音清,未闻及干湿性罗音;心率140次/min,律齐,各瓣膜听诊区未闻及病理性杂音;腹肌强直,压痛、反跳痛,叩鼓音,肠鸣音减弱。腹部 X 线片:未见膈下游离气体及液气平面。血常规示:白细胞14.0×10~9/L,淋巴细胞11.2%,中性粒细胞88.7%,血小板225×10~9/L;肝肾功能未见异常。
Clinical data: children, Hao Mou, male, 3 years old, due to severe abdominal pain 4 h on April 23, 2006 21:35 emergency admission. 4 h before admission, no obvious incentive for children with abdominal pain, to the most obvious umbilical cord pain persistent pain, with nausea, vomiting, vomit containing brown substance, no diarrhea. Examination: T39.0 ℃, P 140 beats / min, R 26 beats / min, BP 60/40 mmHg; spirit clear, poor spirit; bilateral pupil and other large round, the presence of light reflex; lung breath sounds clear , Unheard and dry and wet rales; heart rate 140 beats / min, law Qi, the valve auscultation area has not heard and pathological murmur; abdominal muscle stiffness, tenderness, rebound tenderness, knocking drum sounds, bowel sounds weakened. Abdominal X-ray film: no gas under the diaphragm and the liquid-gas plane. Blood showed: white blood cells 14.0 × 10 ~ 9 / L, lymphocytes 11.2%, neutrophils 88.7%, platelets 225 × 10 ~ 9 / L; no abnormal liver and kidney function.