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患儿女,9个月。因出生后进行性腹部肿大9个月、加重半个月于2006年6月入院。体格检查:体重12kg,精神好,发育正常,营养良好。全腹膨隆,腹壁静脉显露,全腹叩诊呈浊音,肠鸣音正常。血常规WBC12.6×10~9/L,N0.62,L0.31;血清AFP 35.99μg/L,CEA 5.9 5μg//L。腹部CT平扫显示:腹腔巨大囊性占位病变,部分囊壁有乳头样增生,全胃肠道受压向后移位。腹腔囊肿穿刺液检查,常规:淡黄色,浑浊有凝块,Rivalta试验(+),涂片见大量红细胞及
Children with children, 9 months. After the birth due to progressive abdominal enlargement of 9 months, increased half a month in June 2006 admitted. Physical examination: weight 12kg, good spirit, normal development, good nutrition. Abdominal bulge, abdominal veins revealed that the whole abdominal percussion was voiced, bowel sounds normal. Blood routine WBC12.6 × 10 ~ 9 / L, N0.62, L0.31; serum AFP35.99μg / L, CEA5.9μg / L. Abdominal CT scan showed: a huge cystic lesions of the abdominal cavity, part of the wall of the papillary hyperplasia, the entire gastrointestinal pressure back shift. Abdominal cyst puncture fluid examination, routine: light yellow, turbid clot, Rivalta test (+), smear see a large number of red blood cells and