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患儿男,6岁。因腹痛伴发热、呕吐4天入院。4天前因受凉出现轻咳、鼻塞。继之出现阵发性腹痛,以右侧为著,伴发热呕吐。大便正常。当地卫生院诊为“急性阑尾炎”,给予抗生素治疗,疗效不佳,而来我院要求手术治疗。体检;体温38.8℃,脉搏98次/分,呼吸34次/分,急性病容,无发绀。听诊右肺呼吸音略低,未闻及罗音。腹平软,右侧腹部压痛明显,以中上腹为著,无反跳痛及肌紧张,肠鸣音较活跃。实验室检查:白细胞总数18.5×10~9/L,中性粒细胞85％,淋巴细胞15％。大便找蛔
Children male, 6 years old. Due to abdominal pain with fever, vomiting 4 days admitted to hospital. 4 days ago due to cold light cough, stuffy nose. Followed by paroxysmal abdominal pain, with the right side, with fever and vomiting. Stool is normal. Local clinics diagnosed as “acute appendicitis” given antibiotic treatment, poor efficacy, and come to our hospital for surgery. Physical examination; body temperature 38.8 ℃, pulse 98 beats / min, breathing 34 beats / min, acute disease, no cyanosis. Auscultation right lung breath sounds slightly lower, did not hear and rales. Abdomen flat soft, obvious tenderness on the right abdomen, in the abdomen as a, no rebound tenderness and muscle tension, bowel sounds more active. Laboratory tests: the total number of leukocytes 18.5 × 10 ~ 9 / L, 85% of neutrophils, lymphocytes 15%. Stool to find roundworm