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1案例资料1.1临床资料患儿,女,6个月,2011年11月8日晚,哭闹,家长喂服用自备安瑞克、清开灵,次日上午8时到医院就诊。体温38.4℃,呼吸20次/min,脉搏110次/min,给予输液(炎琥宁、头孢曲松钠)后回家,下午6时因情况未改善再返医院。检查见:全腹压痛,右下腹部最明显,腹肌紧张。腹部侧卧位X线示:肠蠕动减弱,多发性肠壁僵硬,狭窄,黏膜皱襞紊乱,回肠胀气,回肠、空肠多处液平面,疑肠套叠。血气检查(正常值):pH 6.3(7.35~7.45)、实际碳酸氢根(AB)
1 case information 1.1 clinical data of children, women, 6 months, the evening of November 8, 2011, crying, parents fed taking their own Anrick, Qing Kailing, the next morning at 8:00 to the hospital. Body temperature 38.4 ℃, breathing 20 beats / min, pulse 110 beats / min, given infusion (Yan Hu Ning, ceftriaxone sodium) after the return home, at 6 pm because the situation did not improve and then return to the hospital. Check see: full abdominal tenderness, the most obvious lower right abdomen, abdominal muscle tension. Abdomen lateral X-ray showed: weakened bowel movements, multiple intestinal wall stiffness, stenosis, mucosal folds disorders, ileum flatulence, ileum, jejunal multiple fluid level, suspected intussusception. Blood gas examination (normal): pH 6.3 (7.35 ~ 7.45), the actual bicarbonate (AB)