小儿卵巢囊性肿瘤误诊为肠痉挛1例
People's Military Surgeon(2011)
Abstract
1 病例报告患儿女,9岁.因阵发性腹部疼痛3天,加重1天来我院就诊.患儿来院就诊前曾因无明显诱因出现阵发性中腹部疼痛1天,无发热、恶心、呕吐等症状,血常规检查未见明显异常,诊断为肠痉挛.给予口服颠茄片治疗,效果不明显来我院就诊.查体:体温36.5℃,心率98/min,呼吸13次/min,血压86/53 mmHg,精神反应较差,神志清楚,口唇红润,脉搏有力,腹部平坦,肝脾肋下未触及,右下腹压痛明显,无反跳痛,未及包块,移动性浊音阴性.行腹部B超检查显示,右卵巢囊性肿瘤扭转,盆腔少量积液,诊断为右侧卵巢囊性肿瘤扭转.
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