一个患有危及生命的腹痛的青少年

Carlone Giorgia, Caracino Valerio, M. Iole, Scaparrota Alessandra, Trotta Daniela, Aricò Maurizio
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引用次数: 0

摘要

一名先前健康的17岁男孩因发烧、咽炎伴颈淋巴肿大、腹痛和呕吐入院急诊科三天。入院时,他不发烧,生命体征正常。然而,在又一次呕吐之后,他又出现了腹痛。c反应蛋白正常,血红蛋白14.1 g/dl,白细胞15 × 103/µL,血小板138 × 103/µL, AST 522 U/L, ALT 341 U/L,总胆红素4.75 mg/dl,直接胆红素3.4 mg/dl;LDH水平689 U/L。
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A teenager with life-threatening abdominal pain
A previously healthy 17-year-old boy was admitted to our emergency department for fever, pharyngitis with cervical lymphadenopathy, abdominal pain, and vomiting for three days. On admission, he was afebrile and his vital signs were normal. Yet, following another vomiting episode, he developed another bout of abdominal pain. C-reactive protein was normal, haemoglobin 14.1 g/dl, WBC 15 x 103/µL, platelets 138 x 103/µL, AST 522 U/L, ALT 341 U/L, total bilirubin 4.75 mg/dl, with direct bilirubin 3.4 mg/dl; LDH level 689 U/L.
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