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患儿 男性、5岁.93年4月因反复脐周疼痛伴纳差,在门诊查大便蛔虫卵(十),给予史克肠虫清2片口服,当天下午患儿出现阵发性腹痛,伴呕吐多次,呕吐物为食物残渣,第2天患儿腹痛加剧,呕吐物中并有咖啡渣样内容物,遂来门诊看外科,检查腹软,满腹均有压痛,以脐周为甚,无反跳痛,肠鸣音存在,诊断为不全性肠梗阻,给予禁食补液,第3天患儿腹痛减轻,双下肢胫前区出现大片密集、针尖大小新鲜瘀点,其颜色深浅不一,压之不退色.发病后,患儿大便不通5天,第六天腹痛缓解排干结黑便少许,化验OB(++),血尿常规均正常,第10天饮食恢复正常,大便转黄,双下肢胫前区瘀点完全吸收.患儿家长诉说,1年前患儿口服史克肠虫清后也有类似经过,只是症状均轻未引起重视.追
Pediatric men, age 5. 93 years in April due to recurrence of abdominal pain with anorexia, check the stool Ascaris eggs (10), giving intestinal gram worms clear 2 oral, the afternoon children with paroxysmal abdominal pain, With vomiting many times, vomit food residue, the first two days of children with abdominal pain aggravated vomit and coffee slag-like content, then came to the clinic to see the abdomen soft, full belly tenderness, to the umbilical weeks are very , No rebound pain, bowel sounds exist, diagnosed as incomplete intestinal obstruction, given fasting rehydration, the first three days of children with abdominal pain, lower extremity anterior tibial area appeared intensive, the size of the pinpoint fresh petechia, the color depth First, the pressure of non-fading. After onset, children with stool barrier for 5 days, the sixth day abdominal pain relief rowing black a little test OB (++), hematuria routine are normal, the 10th day diet returned to normal, , Both lower extremity anterior tibial ecchymosis completely absorbed.Parents said that children a year ago, oral administration of gram intestinal worms clear after a similar process, but the symptoms are not caused by light attention.