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患儿唐××,男,11岁,学生。入院前5日无任何诱因出现阵发性腹痛,部位不固定,伴轻度头昏及全身不适。第三日出现持续右上腹钝痛伴阵发加剧,但无典型钻顶感和放射痛,痛时喜轻压,因同时发现巩膜黄染,以胆道蛔虫病并感染收入院。平素无咳嗽咯痰,无昏厥史,也无咽痛、游走性关节痛及长期发热情况。近二年体力欠佳,活动后常见口唇青紫,张口呼吸。休息后缓解。此次发病后无明显心悸气急现象。入院查体:T38℃,P104次/分,R36次/分,Bp12.
Children Tang × ×, male, 11 years old, student. 5 days before admission without any incentive to paroxysmal abdominal pain, the site is not fixed, with mild dizziness and general malaise. On the third day, persistent right upper quadrant blunt pain accompanied with exacerbations occurred. However, there was no typical apex feeling and radiating pain. When mild pain was mild pressure, the scleral yellow dye was found, and the biliary ascariasis and infection were admitted to the hospital. Usually no cough expectoration, no syncope history, no sore throat, migratory joint pain and long-term fever. Nearly two years of poor physical activity, common lips purple, open mouth breathing. Ease after rest No significant palpitation after the onset of impatience. Admission examination: T38 ℃, P104 times / min, R36 times / min, Bp12.