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患儿女,12岁。因无明显诱因出现乏力,纳差,阵发性上腹部绞痛1月余,加重1周并伴有腹胀、低热、尿少、胸闷、气促于1994年10月31日入院。患儿既往体质较差,1992年因类似症状在外院具体诊治不详,无肝炎、结核、血吸出病史。入院查体:体温37.4℃,呼吸24次/分,脉搏122次/分、血压14/7kPa,发育营养欠佳,皮肤粘膜未见黄染、肝掌及蜘蛛痣等,双肺无异常,心率122次/分,无杂音,腹部呈蛙状腹,腹壁静脉轻度怒张,上腹部压痛(+),肝脏于剑突下5cm,右肋缘下3cm,质硬,
Children with children, 12 years old. Because there is no obvious incentive to fatigue, anorexia, paroxysmal upper abdominal cramps more than 1 month, an increase of 1 week and accompanied by abdominal distension, fever, oliguria, chest tightness, shortness of breath on October 31, 1994 admission. Children with poor physical past, in 1992 due to similar symptoms in the hospital specific diagnosis and treatment is not known, no hepatitis, tuberculosis, blood suction history. Admission examination: body temperature 37.4 ℃, breathing 24 beats / min, pulse 122 beats / min, blood pressure 14 / 7kPa, poor developmental nutrition, skin and mucous membrane no yellow dye, liver palms and spider nevus, no abnormal lungs, heart rate 122 times / min, no noise, the abdomen was frog belly, abdominal wall mild rage, upper abdominal tenderness (+), the liver in the xiphoid 5cm, the right costal margin 3cm, hard,