论文部分内容阅读
患儿女,11岁。因发热伴腹痛、腹泻1月于1997年5月20日入院。1月前无明显诱因出现发热,体温38℃~39.5℃,午后及夜间发热,清晨盗汗后热退。大便每日2~5次,量不多,为粘液血便,伴阵发性脐周隐痛,恶心,不吐,纳差。在门诊按“肠炎”治疗1月,症状无好转,患儿渐消瘦,收住院治疗。病程中,皮肤未出现过皮疹,不咳嗽,无胸闷。平时体健,无传染病史及密切接触史。体检:体湿38.3℃,脉搏140次/分,呼吸24次/分,体重21千克。神志清,表情淡漠,慢性病容,贫血貌。全身皮肤粘膜无皮疹及瘀斑,浅表淋巴结无肿大。胸骨无压痛,双肺无异
Children with children, 11 years old. Due to fever with abdominal pain, diarrhea in January on May 20, 1997 admission. 1 month ago, there was no obvious incentive to fever, body temperature 38 ℃ ~ 39.5 ℃, afternoon and night fever, fever after the early night sweats. Stool 2 to 5 times daily, the amount of small, bloody mucus, with paroxysmal umbilical pain, nausea, vomiting, anorexia. In the clinic by “enteritis” treatment in January, no improvement in symptoms, children gradually weight loss, admitted to hospital for treatment. During the course of the disease, the skin did not appear rash, no cough, no chest tightness. Normal physical health, no history of infectious disease and close contact with history. Physical examination: body wet 38.3 ℃, pulse 140 beats / min, breathing 24 beats / min, weight 21 kg. Conscious, apathy, chronic illness, anemia appearance. No skin rash and ecchymosis skin mucosa, superficial lymph nodes without swelling. Sternal no tenderness, no difference between the lungs