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1病例报告患者,女,8岁,因“腹痛,腹泻,呕吐约2小时”于2010年3月3日就诊。腹痛呈阵发性,腹泻黄色稀水样便两次,呕吐物为胃内容物,非喷射状。查体:神清,精神、面色稍差,心率90次/分,双肺呼吸音清晰,腹平软不胀,剑下、脐周压痛,肠鸣音活跃。诊断“急性胃肠炎”给输液观察治疗,次日凌晨死亡。经法医尸检,死因为“小肠扭转、绞窄性肠梗阻致体液丧失及感染中毒性休克死亡,扭转的回肠段有约20cm肠系膜近肠壁处肠袢先天缺失,形成直径约6cm的肠袢孔”。
1 case report Patients, female, 8 years old, due to “abdominal pain, diarrhea, vomiting for about 2 hours” on March 3, 2010 treatment. Abdominal pain was paroxysmal, diarrhea, yellow watery stool twice, vomit for the stomach contents, non-jet-like. Examination: Shenqing, spirit, looking slightly worse, the heart rate of 90 beats / min, lungs breath sounds clear, flat and flat abdomen, sword, umbilical week tenderness, bowel sounds active. Diagnosis “acute gastroenteritis ” to the infusion observation and treatment, died the next morning. After the autopsy at the forensic, death because “small intestine, strangulated intestinal obstruction caused by loss of body fluid and toxic toxic shock death, reversed the ileum segment of the mesentery near the intestinal wall congenital absence of bowel, forming a diameter of about 6cm of the intestine 袢hole”.