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患儿,男性,10岁,住武夷山市吴屯乡,以消瘦、上腹痛、咳嗽、低热近3个月,2日来未纳食为主诉入院。 入院前3个月,患儿曾以咳嗽、低热于当地卫生所诊治,服中药后自觉症状缓解。2个月来消瘦、上腹痛、恶心、呕吐、食欲差。病情日渐加剧,2日来进食即吐,极度衰竭。1992年6月6日来我院门诊,以“肺门结核和胃溃疡”收入院。病家否认肝炎、溃疡病及其他病史。 体检:体温36.8℃,脉搏98次/分,呼吸20次/分,体重15公斤,神志清,营养差,消瘦,恶液质外观。五官端正,巩膜无黄染,心无异常发现,双肺呼吸音增粗,可闻及干湿性啰音。剑突下可触及约2×2cm肿块,质较硬,但无明显压痛。右助下可触及肝边缘,脾未触及。未引出病理性反射。
The children, male, aged 10, lived in Wutun Township, Wuyishan City. They lost weight, suffered abdominal pain, coughed, and had low fever for nearly 3 months. Three months before admission, the child had been treated with local cough and low heat at the local health center and his symptoms were relieved after taking Chinese medicine. 2 months of weight loss, epigastric pain, nausea, vomiting, poor appetite. The condition is getting worse, and eating and vomiting on the 2nd are extremely exhausting. He came to our hospital on June 6th, 1992 and was admitted to the hospital with “hilar tuberculosis and gastric ulcer”. The sick family denied hepatitis, ulcer disease and other medical history. Physical examination: body temperature 36.8 °C, pulse 98 beats / min, breathing 20 beats / min, weight 15 kg, clear mind, poor nutrition, weight loss, dyscrasia appearance. The features are correct, the sclera is yellow-stainless, and the heart has no abnormal findings. The breath sounds of the lungs are thickened, and dry and wet voices can be heard. The xiphoid can touch about 2 × 2cm mass, harder, but no significant tenderness. The right edge of the liver can be touched and the spleen is not touched. No pathological reflexes