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女,15天。因生后左颌下肿物,进行性增大入院。第一胎第一产,足月顺产。产后即发现患儿左颌下有一花生大的肿物,表面不红,质稍硬,活动。肿块呈进行性增大,无发热、气喘,有腹泻,日4～5次,初为胎粪,渐为黄色水样便,无脓血。母亲为癫痛患者,长期服苯妥英钠。查体:发育好,营养稍差,面色苍黄,被动头位,左颌下可扪及3×3×2厘米肿块,表面光滑,质硬,活动,局部皮肤不红。心脏正常。肝肋下1.5厘米,质软,脾末及。血常规:白细胞30×10~9/L,中性粒细胞20％,淋巴细胞80％淋巴细胞绝对数24×10~9/L,红细胞20×10~(11)/L,血红蛋白8g/L,血小板
Female, 15 days. Due to postnatal left submandibular mass, progressive increase admission. The first birth of the first birth, term full-term. After childbirth found that there is a large peanut mass in the left submandibular surface, the surface is not red, slightly harder, activity. Mass was progressive increase, no fever, asthma, diarrhea, Japan 4 to 5 times, initially as meconium, gradually yellow watery stools, no abscess blood. Mother is a patient with epilepsy, long-term use of phenytoin sodium. Physical examination: good development, nutrition is slightly worse, pale yellow, passive head, left submandibular palpable 3 × 3 × 2 cm mass, smooth, hard, activity, local skin is not red. The heart is normal. Liver ribs 1.5 cm, soft, spleen and end. Blood: white blood cells 30 × 10 ~ 9 / L, 20% of neutrophils, lymphocytes 80% of the absolute number of lymphocytes 24 × 10 ~ 9 / L, red blood cells 20 × 10 ~ (11) / L, hemoglobin 8g / L , Platelets