论文部分内容阅读
患儿,男,7岁,因发热腮腺肿大6天,头痛右上腹痛、吐呕2天入院。病前有流腮接触史。查体:体温39.2℃,脉博110次/分,呼吸28次/分,神志清,右腮腺以耳垂为中心向前后下弥漫性肿大,质地中等,边界不清,触痛明显。右侧腮腺管口稍红肿。颈部抵抗感,心肺正常,右上腹腹肌紧张,胆囊区压痛,墨非氏征阳性。肝脾不大,巴氏阳性。化验:Hb 120g/L,WBC 4,2×10~9/
Children, male, 7 years old, due to febrile parotid enlargement 6 days, headache right upper quadrant pain, vomiting 2 days admitted. Pre-sick cheek contact history. Physical examination: body temperature 39.2 ℃, Pulse Bo 110 times / min, breathing 28 beats / min, conscious mind, right parotid lobe to the center of the diffuse swelling before and after, medium texture, the boundary is unclear, tenderness significantly. Right parotid orifice swollen slightly. Neck resistance, normal heart and lungs, right upper quadrant abdominal muscle tension, gallbladder area tenderness, Mexican non-positive sign. Small spleen and liver, Pasteur positive. Assay: Hb 120g / L, WBC 4,2 × 10 ~ 9 /