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患儿,男,1岁。以“发热腹胀,排柏油样便3天”为主诉入院。于3天前“着凉”后始发热,体温在38.5℃左右,热型不规则。伴排柏油样便3～4次/日,量中等。口腔少量渗血。面色进行性苍黄。当地查血“Hb50g/ L”,已输全血50ml。既往6个月来曾3次因“肠套叠”行灌肠复位。体格检查:T38.2℃,P160次/分,BP100/45mmHg,W12Kg。神清,精神萎靡,呼吸急促,面色苍黄,双下肢及臀部散在出血点,浅表淋巴结均未触及,前囟平软约1.5×1.5cm,咽部充血,口腔粘膜见少许血痂,颈软,
Children, male, 1 year old. To “hot bloating, asphalted like it for 3 days” as the main complaint. 3 days ago, “cold” after the first fever, body temperature around 38.5 ℃, irregular heat. With the row of asphalt will be 3 to 4 times / day, the amount of medium. Oral small amount of oozing. Progressive pale yellow. Local blood test “Hb50g / L”, has lost 50ml of whole blood. In the past 6 months, 3 times because of “intussusception” enema reset. Physical examination: T38.2 ℃, P160 times / min, BP100 / 45mmHg, W12Kg. Shen Qing, apathetic, shortness of breath, pale yellow, both lower extremities and buttocks scattered in the bleeding point, superficial lymph nodes were not touched, anterior fontanelle soft about 1.5 × 1.5cm, throat congestion, oral mucosa see a little blood scab, neck soft ,