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患儿,女性,13个月。因腹部肿块,发热、消瘦1月余入院。体检:T39℃,体重7.3kg。腹胀如鼓,腹壁静脉怒张,左侧腹可触及一个如患儿头大小、表面光滑、质地偏硬不能移动的肿块。CT 示左侧腹腔内见一直径为11×8×13cm之巨大软组织块,肿块密度不均,部份有片状钙化灶,肿块部份横跨中线至右侧腹腔;左肾轮廓欠清。考虑:①神经母细胞瘤;②左肾母细胞瘤?BUN 为3.36mmol/L,Cr53.04μmol/L,血色素0.992mmol/L。白血球1.34×10~9/L,血沉45mm/h。经输血及抗感染治疗,又给予长春新
Children, women, 13 months. Due to abdominal mass, fever, weight loss more than 1 month admission. Physical examination: T39 ℃, weight 7.3kg. Abdominal distension, such as drums, abdominal venous distention, left flank touches a head size, such as children with a smooth surface, the texture is too rigid to move the mass. CT showed a large soft tissue mass with a diameter of 11 × 8 × 13cm in the left side of the abdominal cavity. The mass density of the mass was uneven. Some of the masses had lamellar calcifications. The mass of the mass crossed the midline to the right side of the abdominal cavity. The outline of the left kidney was not clear. Consider: ① neuroblastoma; ② left nephroblastoma? BUN 3.36mmol / L, Cr53.04μmol / L, hemoglobin 0.992mmol / L. White blood cells 1.34 × 10 ~ 9 / L, ESR 45mm / h. Transfusion and anti-infective treatment, but also given Changchun new