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病历摘要患儿女,12岁。因腹痛、腹泻42天,全身浮肿10余天于1985年3月18日入院。患儿于42天前受凉后腹部反复发生隐痛,并渐加剧,脐周明显,持续时间不定,时轻时重,喜按,与饮食无关。黄色不成形便,2～3次/日,恶臭,无粘液脓血及坠胀感。神萎、纳差、消瘦,偶有干咳,不发热,不盗汗,无呕吐。10余天前,双下肢浮肿,渐延及全身。在院外曾用链霉素、异菸肼、补血糖浆等药物。患儿自5岁起即反复腹痛、腹泻,曾在市内某医院就诊,口服异菸肼。以后曾无定时、无明显诱因多次出现腹痛、腹泻,均自服异菸肼,症状多能在2～3天内缓解。无肝炎及结核史。查体:体温36.4℃,呼吸16次/分,脉博108次/
Medical records with children, 12 years old. Due to abdominal pain, diarrhea 42 days, systemic edema more than 10 days in March 18, 1985 admission. Children 42 days before the abdomen after recurrent colic dull pain, and gradually increased, umbilical weeks obvious, indefinite duration, when light weight, hi press, nothing to do with the diet. Yellow will not form it, 2 to 3 times / day, stench, mucus-free pus and bulge feeling. Shen Wei, anorexia, weight loss, occasional dry cough, no fever, no night sweats, no vomiting. More than 10 days ago, both lower extremity edema, gradually extended and body. In the hospital had used streptomycin, isoniazid, blood syrup and other drugs. Children from the age of 5 repeatedly abdominal pain, diarrhea, had a hospital in the city, oral isoniazid. After no time, no obvious incentive to appear repeatedly abdominal pain, diarrhea, are self-contained isoniazid, symptoms can be relieved in 2 to 3 days. No history of hepatitis and tuberculosis. Physical examination: body temperature 36.4 ℃, breathing 16 beats / min, pulse Bo 108 /