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例1 男,9岁。因发热、腹痛3天,抽搐2次入院,入院前3天发热,体温38.5~40.6℃,继之出现腹痛,以右下腹明显。近1日来抽搐2次,持续约2分钟。体检:T40.6℃,BP14/10kPa,热病容,咽部无充血,全身无出血斑点,浅表淋巴结无肿大,颈软,心肺无明显异常。腹平坦,软,脐周及右下腹有压痛,无反跳痛。四肢无水肿。病后二便正常。入院后查血常规示WBC:6.7×10_~9/L,N 0.62,L 0.38%,PLT:69×10~9/L,HGB:138g/L,RBC 4.99×10~(12)/L,入院后持续腹痛,
Example 1 male, 9 years old. Due to fever, abdominal pain for 3 days, 2 convulsions admitted, 3 days before admission fever, body temperature 38.5 ~ 40.6 ℃, followed by abdominal pain, obvious right lower quadrant. Convulsions nearly 1 day 2 times, lasted about 2 minutes. Physical examination: T40.6 ℃, BP14 / 10kPa, fever, throat no congestion, no bleeding spots, superficial lymph nodes without swelling, soft neck, no significant abnormal heart and lung. Abdomen flat, soft, umbilical and right lower quadrant tenderness, no rebound tenderness. Limbs without edema. After the two will be normal. After admission, blood tests showed that WBC was 6.7 × 10 -9 / L, N 0.62, L 0.38%, PLT 69 × 10 9 / L, HGB 138 g / L, RBC 4.99 × 10 12 / Abdominal pain continued after admission,