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女,5岁。无意中发现患儿骶尾部有一枣子大小肿块3个月伴进行性增大、红肿、疼痛1个月。曾在当地服用中西药治疗,效果欠佳。在本院门诊切开引流,清洁换药,切口无愈合,局部炎症水肿明显,以“骶尾部脓肿”入院。患儿饮食及睡眠均差。大便正常,小便减少。无遗传病家族史。体检:T37.8℃,P100次/分,R 24次/分。神软,发育正常,营养差,巩膜、皮肤无黄染。浅表淋巴结未触及,甲状腺不肿大,心肺(一)。脊柱、四肢无畸形,活动自如。实验室检查:Hb 87g/L,WBC12.8×10~9/L,N 0.79,L 0.20。CSF
Female, 5 years old. Inadvertently found in children with a jujube size of the sacrococcygeal mass 3 months with progressive increase, swelling, pain for 1 month. Had taken local Chinese and Western medicine treatment, the effect is not good. In our hospital out of drainage, cleaning dressing, incision no healing, local inflammatory edema, “sacrococcygeal abscess” admission. Children with poor diet and sleep. Normal stool, reduced urination. No family history of genetic disease. Physical examination: T37.8 ℃, P100 beats / min, R 24 beats / min. Soft, normal development, poor nutrition, sclera, skin without yellow dye. Superficial lymph nodes not touched, thyroid enlargement, cardiopulmonary (A). Spine, limb deformity, freedom of movement. Laboratory tests: Hb 87g / L, WBC12.8 × 10 ~ 9 / L, N 0.79, L 0.20. CSF