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患儿男性,11岁,一年半前无意出现腹部痉挛样疼痛。无恶心,呕吐,腹痛能自行缓解,2月前其家长发现腹部明显增大,无任何不适感,精神好,饮食、二便正常。 查体,体重30kg,发育正常,营养不良,体质较消瘦,全身皮肤、粘膜未见黄染,浅表淋巴结不大,头颅五官端正,眼,耳、鼻、口未见异常,胸廓对称,双肺呼吸音清晰,心律齐、心音有力。腹部膨隆,腹壁静脉可视见,肝上界第5肋间,肋下
Children with children, 11 years old, a year and a half ago, there is no intention of abdominal cramps pain. No nausea, vomiting, abdominal pain can relieve itself, 2 months ago, the parents found the abdomen significantly increased, without any discomfort, good spirit, diet, and two will be normal. Physical examination, body weight 30kg, normal development, malnutrition, physique weight loss, body skin, mucous membrane no yellow dye, superficial lymph nodes, head and facial features, eyes, ears, nose, mouth no abnormal thymus symmetry, double Breath sounds clear lungs, heart Qi Qi, powerful heart sounds. Abdominal bulging, visible ventral veins, the upper boundary of the 5th intercostal space, ribs