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患儿,女,5个月。因进行性腹胀1月余,于1990年3月11日入院。发病以来食欲如常,无发热、咳嗽、盗汗.无外伤史。未患过急性传染病,曾接种卡介苗,家庭无结核史。体检:体温36.9℃,呼吸45次/分,Ⅱ°营养不良,贫血貌。淋巴结未扪及,巩膜及皮肤无黄染。心肺正常。腹部极度膨隆,腹围55cm,腹壁静脉显露,腹水征(+),肝脾未扪及。红细胞27×10~(12)/L,血红蛋白75g/L,白细胞6.6×10~9/L,中性0.56,淋巴0.38,嗜酸0.04,单核0.02。肝功能:谷丙转氨酶
Children, women, 5 months. Due to progressive bloating more than 1 month, in March 11, 1990 admission. Since the onset of appetite as usual, no fever, cough, night sweats. No history of trauma. Not suffering from acute infectious disease, had BCG vaccination, family history of non-tuberculosis. Physical examination: body temperature 36.9 ℃, breathing 45 beats / min, Ⅱ ° malnutrition, anemia appearance. No palpable lymph nodes, sclera and skin without yellow dye. Cardiopulmonary normal. Extremely bulging abdomen, abdominal circumference 55cm, abdominal veins revealed signs of ascites (+), liver and spleen not palpable. 27 × 10 ~ (12) / L of red blood cells, 75g / L of hemoglobin, 6.6 × 10 ~ 9 / L of white blood cells, 0.56 of neutrality, 0.38 of lymphatic, 0.04 of acidophilus and 0.02 of mononuclear. Liver function: alanine aminotransferase