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患儿,男,14个月,从出生后反复发烧,腹泻、呕吐於1986年8月11日按肾积水,右侧腹壁疝住泌尿科。体检:T37.8℃,P130次/分,R36次/分,BP110/60mmHg。极度消瘦。胸部有肋串珠,叩诊心脏位置右移,两肺呼吸音清。腹部膨隆,右侧腹部向外膨出,哭闹时膨出增大,压之可以缩小。腹部两侧及下腹部均可触到囊性包块,但边界不清。肝在左右肋下均可触到两横指。腹部叩诊音浊,但不移动。右侧隆起部位可听到肠鸣音。阴囊双侧无睾丸。
Children, male, 14 months, from birth after repeated fever, diarrhea, vomiting in August 11, 1986 by hydronephrosis, the right abdominal wall hernia urology. Physical examination: T37.8 ℃, P130 beats / min, R36 beats / min, BP110 / 60mmHg. Extremely thin. Chest ribbed beaded, percussion heart position shifted to the right, breath sounds cleared lungs. Abdominal bulge, the right abdomen outward bulging, swelling increased when crying, pressure can be reduced. Both sides of the abdomen and the lower abdomen can reach the cystic mass, but the border is unclear. Left and right ribs in the liver can touch the two horizontal fingers. Percussion sound turbinate, but do not move. Bowel sounds can be heard on the right side of the bulge. Scrotal bilateral testicular.