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患儿男,7岁。4天前接触并食入二溴氯丙烷浸泡的花生10余粒。约2小时后,烦躁不安,频繁呕吐粘液样胃内容物。上腹痛,尿黄。当地医院检查:GPT400u;尿蛋白(++),脓细胞(+),红细胞0~1/HP,经治3天无效急转我院。体温36.8℃,脉搏80次/分,呼吸30次/分,血压90/60mmHg。神志恍惚,皮肤、巩膜轻度黄染,肝剑突下4cm.质韧,有触痛,双下肢有针尖大小出血点。白细胞6.2×10~9/L(6200/mm~3),中性90%;淋巴10%,血小板75×10~9/L(7.5万/mm~3)。尿蛋白(++),
Children male, 7 years old. 4 days ago, contact with food and drink more than 10 tablets of dibromochloropropane soaked peanuts. About 2 hours later, irritability, frequent vomiting mucus-like stomach contents. Abdominal pain, urine yellow. Local hospital examination: GPT400u; urinary protein (++), pus (+), red blood cells 0 ~ 1 / HP, 3 days invalid governance by acute hospital. Body temperature 36.8 ℃, pulse 80 beats / min, breathing 30 beats / min, blood pressure 90 / 60mmHg. Trance, skin, scleral mild yellow dye, liver xiphoid 4cm. Quality toughness, tenderness, both lower extremity tip size bleeding point. Leukocytes 6.2 × 10 ~ 9 / L (6200 / mm ~ 3), neutral 90%; lymphatic 10%, platelets 75 × 10 ~ 9 / L (75 000 / mm ~ 3). Urinary protein (++),