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多脾综合征极为罕见,现将我院经尸检证实的1例报告如下: 病历摘要:患儿,男,7个月。因全身黄染近7个月,咳嗽、气喘、呕吐2个月,于1984年7月25日入院。体检:体温37.5℃,精神萎靡。全身皮肤黄染,颜面及眼睑浮肿,躯干及四肢见多处瘀斑。巩膜黄染,睑结膜苍白。两肺正常,心率136次/分,心律整,心尖部闻及Ⅱ～Ⅲ级缩鸣。腹部膨隆,肝于右助下4cm,脾于左肋下4cm,质地较硬,表面不光滑。化验:血红蛋白90g/L,红细胞2.2×10~(12)/L,白细胞15.7×10~9/L,中性81%,淋巴19%,血小板48×10~9/L,出血时间30秒,凝血时间6分。黄疸指数155单位。总胆红素256.5μmol/L(15mg%),直接胆红素186.39μmol/L(10.9mg%),间接胆红素70.11μmol/L(4.1mg%)。谷丙转氨酶93赖氏单位。尿胆红质阳性,尿胆元弱阳性。临床诊断:黄疸原因待查,肝炎综合征?入院后给予抗炎、止血等治疗无
Splenomegaly syndrome is extremely rare, now our hospital confirmed by autopsy in 1 case report as follows: Medical records summary: children, male, 7 months. Due to systemic yellow dye nearly 7 months, cough, asthma, vomiting for 2 months, on July 25, 1984 admitted. Physical examination: body temperature 37.5 ℃, apathetic. Whole body skin yellow, facial and eyelid edema, see the trunk and limbs, many ecchymosis. Scleral yellow dye, pale conjunctiva. Normal lungs, heart rate 136 beats / min, heart rhythm, apical smell and Ⅱ ~ Ⅲ level Ming Ming. Abdominal bulge, liver right help 4cm, spleen in the left rib 4cm, texture hard, the surface is not smooth. Assay: Hemoglobin 90g / L, erythrocyte 2.2 × 10-12 / L, white blood cells 15.7 × 10-9 / L, neutral 81%, lymphatic 19%, platelets 48 × 10 ~ 9 / L, bleeding time 30 seconds, Clotting time 6 points. Jaundice index 155 units. Total bilirubin 256.5μmol / L (15mg%), direct bilirubin 186.39μmol / L (10.9mg%) and indirect bilirubin 70.11μmol / L (4.1mg%). Alanine aminotransferase 93 Lai unit. Urine bilirubin-positive, urinary gallbladder weak positive. Clinical diagnosis: the cause of jaundice to be investigated, hepatitis syndrome? Give anti-inflammatory, hemostatic and other treatment after admission