病历报告 患者,女,10岁。因皮肤黄染、乏力、腹胀,双下肢水肿45d入院。曾于当地医院给予护肝治疗效果不明显,其姐8岁时因皮肤黄染治疗无效死亡。体检:体温36.8℃,脉搏80/min,血压14.0/8.0kPa,神志清楚,贫血貌,全身皮肤、巩膜轻度黄染,无出血点,无皮疹,全身浅表淋巴结未触及,心肺未见异常,腹部稍膨隆未见腹壁静脉曲张,肝脾肋缘下未 Patient, female, 10 years old. Due to yellow skin, fatigue, bloating, edema 45d lower extremity admission. Was given in the local hospital treatment of liver is not obvious, his sister died of skin yellow dye treatment died at age 8. Physical examination: body temperature 36.8 ℃, pulse 80 / min, blood pressure 14.0 / 8.0kPa, conscious, anemic appearance, systemic skin, scleral mild yellow dye, no bleeding, no rash, systemic superficial lymph nodes not touched, heart and lung no abnormalities , Abdomen slightly bulging no abdominal varicose veins, liver and spleen under the edge of rib