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患儿,男,年龄2个半月.于入院前13天开始发热,腹泻,每日7～8次,呈黄色水样便,入院前2天开始呕吐、腹胀、拒乳.经当地医生治疗无效转来我院,门诊以消化不良症收住儿科.入院后体检:体温38.7℃,精神差,贫血貌,眼窝凹陷,呼吸急促,鼻翼扇动.心率123次/分,律齐,两肺呼吸音弱,未闻及罗音.腹部膨隆,未见肠型,腹软,肝右肋下6cm,质中等,叩诊右上腹为浊音,肠鸣音存在.血液检查:Hb66g/L,WBC53.4×10~9/L,N0.74,L0.26.大便检查:淡黄色.粘液(+),未消化食物(++),红血球1～2/HP,脓球3～5/HP,寄生虫(一).儿科按消化不良进行补液、纠酸与抗感染治疗,2天后症状无改善,腹部透视:双膈活动减弱,右膈升高,腹中部可见大量肠曲积气及少数液平面.腹部B超:肠腔大量积
Children, male, age two and a half months .13 days before admission fever, diarrhea, 7 to 8 times a day, was yellow watery stools, vomiting, bloating, breastfeeding 2 days before admission ineffective by the local doctor Transferred to our hospital, clinics to indigestion admitted to pediatrics. Physical examination after admission: body temperature 38.7 ℃, poor spirit, anemia appearance, orbital depression, shortness of breath, nasal flap fan heart rate 123 beats / min, law Qi, lung breath sounds Weak, unheard and rales. Abdominal bulge, no intestinal type, abdominal soft, right rib 6cm, medium quality, percussion right upper quadrant is dullness, bowel sounds exist. Blood tests: Hb66g / L, WBC53.4 × 10 ~ 9 / L, N0.74, L0.26 Stool examination: light yellow mucus (+), undigested food (++), erythrocyte 1 ~ 2 / HP, pus ball 3-5 / HP, parasite (A) pediatric dyspepsia rehydration, correction of acid and anti-infective treatment, no improvement of symptoms after 2 days, abdominal fluoroscopy: diaphragmatic activity decreased, the right diaphragm increased, a large number of intestinal midgut mesangiatic gas and a small number of liquid level. Abdomen B ultrasound: large intestine product