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近年来,我们收治2例肝豆状核变性患儿,均误诊误治。现报告如下。例1:男,10岁。因食欲差、乏力、尿黄月余,门诊以“肝炎”治疗1个月无好转而入院。查体:一般情况好,精神萎靡,巩膜及皮肤重度黄染,双手及面部有散在蜘蛛痣,肝掌明显。心前区闻及Ⅱ级收缩期杂音。腹部膨隆,可见腹壁静脉怒张,全腹压痛;肝上界在右锁骨中线第四肋间,肋下未及,剑下约5cm,质韧,表面不光滑,有触痛及叩痛;腹水征阳性,有移动性浊音。双下肢轻度
In recent years, we admitted 2 cases of Wilson’s disease in children, misdiagnosis and mistreatment. The report is as follows. Example 1: Male, 10 years old. Due to poor appetite, fatigue, urine yellow more than a month, out-patient to “hepatitis” treatment 1 month without improvement and admission. Physical examination: the general situation is good, apathetic, sclera and skin severe yellow dye, hands and face scattered spider nevus, liver palpable. Heart area and Ⅱ grade systolic murmur heard. Abdomen bulging, abdominal distention visible veins, full abdominal tenderness; upper bound of the liver in the right intercostal fourth intercostal space, the ribs under the sword about 5cm, tough quality, the surface is not smooth, tenderness and percussion pain; ascites Positive sign, there are shifting dullness. Lower extremity mild