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患儿女,1.5岁。因发热、呕吐、腹泻2天,于1990年4月20日入院。大便为蛋花状,每日排便20余次。体检:体温39.5℃,精神萎靡,脱水状,两眼凝视,拒乳。全身皮肤粘膜未见出血点及淤斑,颈软。两肺呼吸音粗糙。腹软,轻压痛,肠鸣音亢进。其它未见异常。实验室检查:血白细胞14×10~9/L,中性0.70,淋巴0.30。便常规检查见大量脂肪球。3天后腹泻停止。但仍持续高热,并出现频繁抽搐、呕吐。体温39℃。颈抵抗,克氏征及布氏征均阳性。追问病史,患儿入院前曾有不自主
Children with children, 1.5 years old. Due to fever, vomiting, diarrhea 2 days, on April 20, 1990 admission. Stool for the egg-shaped, defecation more than 20 times a day. Physical examination: body temperature 39.5 ℃, apathetic, dehydrated, two stare, refuse milk. No skin and mucous membrane bleeding and ecchymosis, neck soft. Breathe sound rough between the two lungs. Abdominal soft, light tenderness, bowel sounds hyperthyroidism. No other abnormalities. Laboratory tests: white blood cells 14 × 10 ~ 9 / L, neutral 0.70, lymph 0.30. Routine check to see a large number of fat ball. Diarrhea stopped after 3 days. However, the fever continued to be high and convulsions and vomiting were frequent. Body temperature 39 ℃. Neck resistance, Kirschner Sign and Briggs sign were positive. Asked history, children had involuntary admission