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患儿女性,2.5岁.因右上腹部肿物时隐时现半年,于1990年4月12日来诊.半年来患儿常因腹痛啼哭,伴有呕吐.家长发现右上腹拒摸,并可触到一包块约蚕豆大小,3～5天后腹痛逐渐减轻,包块自行消失摸不清.此次再次发作而入院.过去家族史无特殊.体格检查,发育正常,营养良好,聪明伶俐,能自诉疼痛部位.皮肤、巩膜无黄染.心肺正常,右上腹部膨隆,有囊性肿块存在约鸡卵大小,表面光滑,下界可以模出,有独痛,深呼吸时可见上下移动,左右移动不明显.腹X线平片,肿块影像不清,B超肝下囊性肿物10cm×8cm×5cm,右侧横结肠段位置显低.肺片正常.体温37.5℃.脉博每分钟96次、呼吸26次/分.实验室检查:血红蛋白110g/L,红细胞4.4×10~(12)/L白细胞11.0×10~9/L中性0.68,嗜酸性0.02,淋巴球0.3尿常规正常.
Children with children, 2.5 years old, because the right upper quadrant was hidden for six months, came to the clinic on April 12, 1990. For six months children with abdominal pain often cry, accompanied by vomiting .Parents found that the right upper quadrant refuse to touch and Touch a pack of about the size of broad beans, 3 to 5 days after the pain gradually reduced, mass disappeared disappeared. The episode again admitted to the hospital in the past no special family history. Physical examination, normal development, good nutrition, clever, Can complain of painful parts of the skin, sclera no yellow dye normal heart and lungs, upper right abdomen bulge, there is a cystic mass about the size of chicken eggs, the surface is smooth, the lower bound can be modeled, a solitary pain, deep breath can be seen moving up and down, Obvious X-ray film, the tumor image is unclear, B-subhepatic cystic mass 10cm × 8cm × 5cm, the right transverse colon segment was significantly lower lung piece normal body temperature 37.5 ° C pulse 96 times per minute, Breathing 26 beats / min Laboratory tests: hemoglobin 110g / L, erythrocyte 4.4 × 10-12 / L white blood cells 11.0 × 10 ~ 9 / L neutral 0.68, eosinophilic 0.02, lymphocyte 0.3 urine routine normal.