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男、4岁,因高热、血水便2天入院。体检:体温39℃,血压测不清,烦躁,浅昏迷状。皮肤呈紫红色花纹,口唇微绀。双肺(一),心率160次、律齐,心音低钝,腹软,无压痛,肝脾未扪及,肠鸣音正常。肛诊指套染血呈暗红色。血红蛋白140g/L,白细胞12.4×10~9/L,中性粒细胞64％,淋巴细胞30％,单核细胞6％。血小板170×10~9/L,出凝血时间正常,二氧化碳结合力166mmol/L,肛拭子涂片:白细胞+,红细胞+。
Male, 4 years old, due to fever, bloody stools were admitted to hospital for 2 days. Physical examination: body temperature 39 ℃, blood pressure test is not clear, irritability, shallow coma. Fuchsia skin pattern, lips cyanosis. Double lung (a), heart rate 160 times, law Qi, heart sound low blunt, abdominal soft, no tenderness, liver and spleen not palpable, bowel sounds normal. Anus finger stained dark red blood. 140g / L hemoglobin, 12.4 × 10 ~ 9 / L white blood cells, 64% neutrophils, 30% lymphocytes and 6% monocytes. Platelets 170 × 10 ~ 9 / L, the normal clotting time, carbon dioxide binding 166mmol / L, anal swab smear: white blood cells, red blood cells +.