论文部分内容阅读
病历摘要患儿杨××,男,1岁半,陕西潼关县人。主因进行性贫血,左肋下包块半月于1979年7月17日收入我院儿科。住院号791708。入院后,患几持续性低热,腹部胀气,腹水征(+),但精神尚可,食欲良好,消化道通畅。于入院第四天由于高度腹胀,肛管排气不理想而给予新斯的明注射液0.5毫克(上海第七制药厂出品,批号75031)肌注后,迅速排出大小便,腹胀显著改善,无任何不适。7月23日(即入院后第七天)患儿又出现极度腹胀,以致膈肌上移,呼吸极度困难,腹部听诊肠鸣音微弱。为缓解腹胀所造成的严重呼吸困难,仍首
Medical records Yang × × children, male, 1 year and a half, Shaanxi Tongguan County. Mainly due to progressive anemia, left rib cage half a month in July 17, 1979 income in our hospital pediatrics. Hospital number 791708. After admission, suffering from several persistent low fever, abdominal flatulence, signs of ascites (+), but the spirit is acceptable, good appetite, gastrointestinal patency. In the fourth day of admission due to a high degree of abdominal distension, anal canal is not ideal and given neostigmine injection 0.5 mg (Shanghai Seventh Pharmaceutical Factory produced, lot number 75031) intramuscularly, excretion of urine quickly, bloating significantly improved, no Any discomfort. On July 23 (that is, the seventh day after admission), the patient experienced extreme abdominal distension, causing the diaphragm to move upwards and the breathing was extremely difficult. The abdominal auscultatory bowel sounds were weak. To alleviate the severe abdominal distension caused by breathing difficulties, is still the first