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患儿、女,9岁,四川人。两岁半起日渐苍白消瘦,3岁及6岁皆曾发黄半月。4年前开始腹部逐渐胀大,一年来常鼻衄,精神差,少活动。体检:体温37.8℃,脉搏128次,呼吸28次,发育营养极差,体重仅15公斤。重度贫血貌,无黄疸、全身表浅淋巴结如黄豆大,心界扩大,心尖区闻及Ⅱ级收缩期杂音,肺清晰。腹部膨隆,腹壁浅静脉可见,有轻度移动性浊音,肝脏
Children, women, 9 years old, Sichuan people. Two and a half years growing pale and thin, 3 years old and 6 years old had yellow half moon. 4 years ago began to gradually increase the abdomen, a year often nosebleed, poor spirits, less activity. Physical examination: body temperature 37.8 ℃, pulse 128 times, breathing 28 times, very poor nutritional development, weighing only 15 kg. Severe anemia appearance, no jaundice, systemic superficial lymph nodes such as soybeans, heart widening, apex area smell and Ⅱ systolic murmur, lungs clear. Abdominal bulging, superficial veins visible, mild dullness, liver