论文部分内容阅读
患儿男,9岁。因腹痛,恶心,呕吐2天入院。查体:T37.8℃,P88次/min,BP12/8kPa。急性痛苦表情,心肺正常,全下腹均有压痛、反跳痛,以右下腹麦氏点为重。诊断:急性阑尾炎,在氯胺酮麻醉下取右下腹经腹直肌切口,见腹腔淡黄色液体200ml,阑尾轻度充血、肿胀,行阑尾常规切除术,逐层关腹。术后患儿元尿,血压18/12kPa,应用利尿剂无效。B超,双肾盂积水,考虑急性尿路梗阻,急诊剖腹探查,见腹腔淡黄色尿液500～700ml,双侧肾盂积水,肾盂输尿管交界处狭窄,行狭窄段切除,肾
Children male, 9 years old. Due to abdominal pain, nausea, vomiting 2 days admitted to hospital. Physical examination: T37.8 ℃, P88 times / min, BP12 / 8kPa. Acute pain facial expression, normal heart and lungs, the lower abdomen are tenderness, rebound tenderness, to the right lower quadrant Maxwell point. Diagnosis: acute appendicitis, under the anesthesia of ketamine to take the right lower quadrant abdominal rectus incision, see the abdominal light yellow liquid 200ml, appendicitis mild congestion, swelling, routine appendectomy, layer by layer. Urine patients after surgery, blood pressure 18 / 12kPa, the application of diuretics invalid. B ultrasound, hydronephrosis, consider acute urinary tract obstruction, emergency laparotomy, see the abdominal light yellow urine 500 ~ 700ml, bilateral hydronephrosis, ureteropelvic junction stricture, the line of stricture resection, kidney