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1991年我院误诊坏死性肠炎三例.现分析如下。例1 男,4(1/2)月,住院号126983。因发热、腹泻5天,于6月10日中午入院。患儿入院前解蛋花样便3~4次/天,无粘液及脓血便,不吐,精神差。入院前一天患儿时有两眼上翻。体检:T37.4℃,p140次/分,R36次/分,W4.5kg。精神差,轻度脱水外观。心音稍低钝。腹微胀,软,肠鸣音活跃。神经系统体检无异常。血常规 WBC25.7×10~9/L,N0.70,Hb109g/L.入院初步诊断:(1)婴儿腹泻并轻至中度等张性脱水;(2)中枢神经系统感染待排。予抗炎
In our hospital misdiagnosed necrotic enteritis in three cases in 1991. The analysis is as follows now. Example 1 Male, 4 (1/2) month, hospital number 126983. Due to fever, diarrhea 5 days, at noon on June 10 admission. Children before admission egg solution will be 3 to 4 times / day, no mucus and pus and blood, not spit, poor spirit. On the day before admission, the children turned up when they had children. Physical examination: T37.4 ℃, p140 times / min, R36 times / min, W4.5kg. Poor spirit, mild dehydration appearance. Low heart sound blunt. Abdominal swelling, soft, bowel sounds active. Nervous system examination was normal. Blood WBC25.7 × 10 ~ 9 / L, N0.70, Hb109g / L. Initial admission diagnosis: (1) Infantile diarrhea and mild to moderate isotonic dehydration; (2) Central nervous system infection to be discharged. Anti-inflammatory