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患儿,男,1岁。出生后4个月发现上腹部偏右有一鹅蛋大肿块,逐渐增大而身体日渐消瘦。患儿系足月顺产,母乳喂养。体重7kg,消瘦,皮肤弹性差,腹部明显隆起,上中腹部可扪及约儿头大的肿块,呈不规则圆形,无压痛,左右活动范围不到1cm,无搏动感,边缘钝,表面不平,质地中等硬度,肿块无血管杂音。余未见异常。血红蛋白6.69,红细胞252万,白细胞7800,中性粒细胞34%,淋巴细胞63肠,嗜酸性细胞3肠。胎甲球试验阳性。超声波检查:肝上界第5肋间隙,肝厚度11cm,下界与肿块相连占据整个腹
Children, male, 1 year old. Four months after birth, she found that there was a large goose egg mass on the right side of the abdomen, which gradually increased while her body was getting thinner. Children with full-term birth, breastfeeding. Weight 7kg, weight loss, skin elasticity is poor, the abdomen was obviously uplift, palpable on the abdomen about the head of the big tumor, was irregular round, no tenderness, about less than 1cm range of activities, no beating, blunt edge, surface Uneven, medium texture, lumps without vascular murmur. I no abnormalities. Hemoglobin 6.69, erythrocytes 2.52 million, leucocytes 7800, neutrophils 34%, lymphocytes 63, eosinophils 3 intestine. Fetal ball test positive. Ultrasonography: the upper limit of the 5th intercostal space of the liver, liver thickness 11cm, the lower bound with the mass to occupy the entire abdomen