小儿十二指肠球部溃疡1例

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患儿,女2.5岁,间断性腹痛2月余加剧2周。2月前无明显诱因下感脐周痛,间断性钝痛,尤以夜间为重。无发热、恶心、呕吐、食欲尚可。大便黄色成形软便,一日一次,半年前行二次正规驱虫治疗。查体:T36.5℃,P 96次/分,R22次/分,W 12kg,心肺听诊正常。腹平软,无压痛反跳痛,肝脾未及。父、祖父有溃疡病史。血常规:RBC4.30×10~9/L Hb 109g/L,尿常规正常。大便潜血(-),B超示:双肾、输尿管、膀胱均未见异常,脑电图、静脉肾盂造影、腹部平片均正常。上 Children, female 2.5 years old, intermittent abdominal pain worsened in February more than 2 weeks. 2 months ago no obvious incentive to feel the umbilical pain, intermittent dull pain, especially at night as heavy. No fever, nausea, vomiting, appetite is acceptable. Stool yellow forming soft stool, once a day, six months before the formal deworming treatment twice. Physical examination: T36.5 ℃, P 96 beats / min, R22 beats / min, W 12kg, cardiopulmonary auscultation normal. Abdomen soft, no tenderness rebound tenderness, liver and spleen not yet. Father, grandfather has a history of ulcer. Blood: RBC4.30 × 10 ~ 9 / L Hb 109g / L, urine normal. Fecal occult blood (-), B ultrasound showed: kidney, ureter, bladder were normal, EEG, intravenous pyelography, abdominal plain film were normal. on
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