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患儿,男,13岁。全身浅表淋巴结肿大,间断发热6月,黄疸、解黑便5天。曾接结核治疗一月,疗效差。近5天皮肤、巩膜黄染并解柏油样大便。病程中曾两次出现红色斑丘疹,后自然消退,留下色素斑。体检:T40.4℃,P130次/分,R40次/分,慢性重病容,面色苍黄,巩膜及皮肤重度黄染,躯干、四肢可见色素斑,颈、腋、腹股为可触及肿大淋巴结。肝肋下7cm,剑突下5cm。脾Ⅰ线4cm,Ⅱ线7cm,Ⅲ线-3cm。移动性浊音(+),双下肢及阴囊水肿。Hb30g/L,WBC3.4×10~9/
Children, male, 13 years old. Whole body superficial lymph nodes, intermittent fever in June, jaundice, black solution will be 5 days. Had tuberculosis treatment January, poor efficacy. Nearly 5 days the skin, sclera yellow dye and relieve tarry stool. Red rash twice during the course of the disease, after the natural subsided, leaving pigmented spots. Physical examination: T40.4 ℃, P130 beats / min, R40 beats / min, chronic severe disease, pale yellow, sclera and skin with severe yellow dye, trunk, visible pigmentation of the extremities, neck, axilla, . Liver ribs 7cm, xiphoid 5cm. Spleen Ⅰ line 4cm, Ⅱ line 7cm, Ⅲ line -3cm. Mobility dullness (+), both lower extremities and scrotum edema. Hb30g / L, WBC3.4 × 10 ~ 9 /