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患儿,男性,六个月,住院号147,099。因发现左上腹肿块逐渐增大4个月于81年4月27开入院。入院前4个月患儿母亲发现左上腹一无痛肿块,以后逐渐增大,头颅也渐增大,发育不良乃来院就诊。患儿系一胎一产,足月顺产。孕期母亲身体健康,母乳喂养,量足。父母系姑表近亲结婚。其父、叔及祖父均有“头大方形”外观,均健在,不肯前来作检查。体检:体温36.8℃(肛),发育不良,营养较差。神志清楚,毛发稀疏、干燥,贫血貌,皮肤粘膜无出血点。头大而方,头围44.5cm,前囟饱满,隆起6.5×5cm 大小,
Children, men, six months, hospital number 147,099. Because of the discovery of the left upper abdomen mass gradually increased 4 months in April 1981 81 open admission. Four months before admission, her mother found a painless lump in the left upper quadrant, and then gradually increased. Her skull also gradually increased, and her dysplasia came to the hospital for treatment. Children born in a fetus, full-term birth. Pregnant mothers good health, breastfeeding, the amount of foot. Parents and relatives get married. His father, uncle and grandfather have “big head square” appearance, are alive, would not come to check. Physical examination: body temperature 36.8 ℃ (anal), poor growth, poor nutrition. Conscious mind, hair sparse, dry, anemic appearance, skin and mucous membrane without bleeding point. Head large and square, head circumference 44.5cm, full of anterior fontanel, uplift 6.5 × 5cm size,