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美克耳憩室在群体中的发生率约2%,一般无症状,但也可发生严重的并发症,约2/3发生在婴幼儿。常见的并发症有肠道出血、肠梗阻、憩室炎和憩室穿孔。现将本病误诊为“毒痢1例报告如下,供同道借鉴。 男婴,2个月,足月顺产儿,住院号28157。因反复腹胀20多天,呕吐伴发烧、不排便排气1d入院。患儿子20多天前出现腹胀,时轻时重,予对症治疗效果不佳。入院前1d突然腹胀加重,不排便排气,且见呕吐,食人更甚,伴发烧、哭闹,精神差,遂来住院。查体:体温38.5℃,脉搏150min~(-1),呼吸34min~(-1),体重3.9kg.发育正常,营养较差,神清,精神较
Meckel’s diverticulum occurs in about 2% of the population and is generally asymptomatic, but serious complications can occur, with about two-thirds occurring in infants and toddlers. Common complications are intestinal bleeding, intestinal obstruction, diverticulitis and diverticula. The disease is now misdiagnosed as "poison dysentery, 1 case report as follows for the fellow learners .Baby boy, 2 months, term delivery, admission 28157. Due to repeated abdominal distension more than 20 days, vomiting with fever, defecation exhaust 1d Admitted to hospital suffering from abdominal distension more than 20 days before the son, when light and heavy, to symptomatic treatment ineffective 1d before admission, sudden abdominal distension increased, no defecation exhaust, and see vomiting, eating even worse, with fever, crying , Poor spirit, then hospitalized. Physical examination: body temperature 38.5 ℃, pulse 150min ~ (-1), breathing 34min ~ (-1), weight 3.9kg. Normal development, poor nutrition, clear spirit, mental