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现将小儿无痛型肠套叠误诊的两例介绍如下: 例1:男孩,9个月。因精神不振、呕吐半日,于1979年3月7日入院。病儿平素健康。病前一日晚其父在家中用“银粉”(内含苯)刷暖气并加热烘干,屋内“漆味”甚大,其父感到头晕。次晨,见病儿精神不振,周身无力,不思饮食,并出现非喷射性呕吐,较频,吐物初为胃内容物,最后可见“黄水”样物。但无阵发性哭叫及烦躁不安。大便正常。无发热,未抽风。检查:体温36.8℃,失水不甚明显。精神不振,嗜睡状态。面色轻度灰黄,无皮彦,咽稍充血,颈部可疑有抵抗,心肺正常。腹平软,未见肠型,未触及包块,无明显压痛,肝肋弓下可及1厘米,脾未及。化验:白
Now children painless intussusception misdiagnosis of two cases are as follows: Example 1: boy, 9 months. Due to lack of energy, vomiting half a day, on March 7, 1979 admission. Sick children usually healthy. His father was dizzy with his father’s dizziness when he was using a “silver powder” (including benzene) brush to warm and heat it at home on the night before the illness. The next morning, see the sick child was sluggish, his whole body weakness, do not think diet, and non-jet-induced vomiting, more frequent, spit first for the stomach contents, the last visible “yellow water” like. But no paroxysmal crying and restlessness. Stool is normal. No fever, no ventilation. Check: body temperature 36.8 ℃, dehydration is not obvious. Unresponsive, lethargic state. Mild pale gray, no leather Yan, pharynx slightly hyperemic, neck suspicious resistance, normal heart and lungs. Abdomen soft, no intestinal type, not touched the mass, no significant tenderness, under the liver ribs can reach 1 cm, the spleen has not yet. Laboratory: white