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病例摘要,患儿,男,15个月。1987年11月12日以间断性腹泻、呕吐半月,发热、腹胀7天,发现右下腹包块1小时入院。现病史:患儿半月前腹泻,每日4～5次,黄色无脓血及粘液。次日患儿即呕吐大量奶汁及少量胆汁。给爱茂尔、庆大霉素和黄连素等药物治疗无效,赴当地医院就诊。两天后仍无好转,转县医院。按“流行性腹泻”给补液,同时应用多种抗生素和激素3天,患儿病情缓解出院,入院前后未曾做过任何实验室检查。到第7天,患儿再次腹泻、呕吐,继而发热,哭闹。中医按“食积”给口服“肥儿丸”,以求消食去热。服后,患儿腹泻更甚,哭闹加剧。大便呈水样,每日10余次,未见有脓血。到
Case summary, children, male, 15 months. November 12, 1987 to intermittent diarrhea, vomiting half a month, fever, abdominal distension for 7 days and found the right lower quadrant mass 1 hour admission. Current history of illness: children with diarrhea half a month ago, 4 to 5 times daily, yellow no blood and mucus. The next day, children vomit a lot of milk and a small amount of bile. To Ai Mauer, gentamicin and berberine and other drug treatment is invalid, went to the local hospital. Still no improvement after two days, go to the county hospital. Press “epidemic diarrhea” to rehydration, at the same time the application of a variety of antibiotics and hormones for 3 days, children with the disease ease discharge, before and after admission have not done any laboratory tests. By the seventh day, the child again diarrhea, vomiting, then fever, crying. Chinese press “food plot” to oral “fat pill”, in order to eliminate food to heat. After serving, children with diarrhea worse, worse crying. Stool was watery, more than 10 times a day, no sepsis. To