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患儿女,5岁,入院前18天因发热、食欲不振,拟诊“上感”,在接受“庆大霉素”、“退热剂”治疗后病情无好转,又出现呕吐、尿黄、精神不佳,故以病毒性肝炎于1985年4月3日入院。平素健康,无特殊病史。检查:体温36.4℃,脉搏78次/分。精神萎糜;皮肤巩膜黄染;浅表淋巴结未触及;心肺未见异常;腹软,肝上界第6肋间,肋下2 cm,表面光滑,质中,脾肋下未触及。实验室检查:血红蛋白11.5g;白细胞7400,中性73%,淋巴25%,酸性2%,血小板8万。尿色深黄,蛋白+,尿胆红素(?),尿胆元+。大便黄色,稀。入院后按病毒性肝炎给予肝舒乐、口服1%肌苷治疗。从入院第7天开始病情加重,体温高达39℃,呕吐、鼻衄,神志不清,很快进
Children, 5 years old, 18 days before admission due to fever, loss of appetite, proposed diagnosis of “feeling” after receiving “gentamicin”, “antipyretics” did not improve the condition after treatment, and vomiting, urinary yellow , Poor health, it is viral hepatitis in April 3, 1985 admission. Usually healthy, no special history. Check: body temperature 36.4 ℃, pulse 78 beats / min. Spirit wilt; scleral yellowish skin; superficial lymph nodes did not touch; no abnormal heart and lung; abdominal soft, upper 6th intercostal space, ribs 2cm, smooth surface, the quality of the spleen ribs untouched. Laboratory tests: hemoglobin 11.5g; white blood cells 7400, 73% neutral, lymphatic 25%, acidic 2%, 80,000 platelets. Urine dark yellow, protein +, urine bilirubin (?), Urine bile +. Stool yellow, thin. After admission by liver hepatitis Shule viral hepatitis, oral inosine 1% treatment. From the seventh day after admission, the condition became worse, the body temperature was as high as 39 ° C, vomiting, epistaxis, unconsciousness, and soon entering