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例1,男,10岁,因发现肝脾肿大8年于1986年1月4日入院。患儿2岁时因腹胀于河南某县医院发现脾肿大,不久又发现肝肿大。此后腹胀进行性加重,伴面色苍黄,乏力。家族成员中其胞弟有类似情况。 体检:发育营养差,慢性贫血病容。面部少许棕褐色素沉着,四肢散在瘀点。浅表淋巴结无明显肿大。巩膜无黄染。腹膨胀,腹围70cm,腹壁静脉显露。肝肋缘下12.5cm,质中,光滑。脾肋缘
Example 1, male, 10 years old, admitted to hospital on January 4, 1986 because of hepatosplenomegaly. 2 years old children with abdominal distension in a county hospital in Henan found splenomegaly, and soon found that hepatomegaly. After abdominal distension progressive aggravating, with pale yellow, weakness. Family members in their younger brother have a similar situation. Physical examination: Poor nutrition, chronic anemia. Face a little tan calm, scattered limbs petechia. Superficial lymph nodes without obvious enlargement. Sclera without yellow dye. Abdominal swelling, abdominal circumference 70cm, abdominal veins revealed. Liver under the edge of 12.5cm, quality, smooth. Spleen ribs