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1 病例报告 女,4岁。脐周阵发性绞痛,腹泻为咖啡样粘血便3d,按细菌性痢疾诊治3d无效,转入我院。查体:T39℃,P 128次/min,R 30次/min,BP 6/4 kPa。精神差,神志恍惚消瘦,呈贫血貌。腹部隆起,腹肌紧张,下腹部压痛明显,叩为鼓音,有移动性浊音,肠鸣音消失;肛门指诊,指套有咖啡样血迹;B超示:肠管扩张,肠间积液。腹腔内穿刺见咖啡未凝集液体。剖腹探查术见:大网膜粘连,部分坏死,腹腔内有大量咖啡粘液、蛲虫样虫体,结肠解剖层次不清,大部分坏
1 case report female, 4 years old. Umbilical paroxysmal angina, diarrhea, coffee-like blood sticks 3d, according to the diagnosis and treatment of bacterial dysentery 3d invalid, transferred to our hospital. Examination: T39 ℃, P 128 times / min, R 30 times / min, BP 6/4 kPa. Poor spirits, trance thin, anemic appearance. Abdomen bulge, abdominal muscle tension, lower abdominal tenderness, knocking as drum sound, dullness of movement, bowel sounds disappear; anal fingering, refers to a set of coffee-like blood; B ultrasound shows: bowel dilatation, intestinal fluid. Intraperitoneal puncture see the coffee is not agglutinated liquid. Caesarean exploration see: the omentum adhesion, some necrosis, a large number of intra-abdominal coffee mucus, pinworm worms, colon anatomy unclear, most of the bad