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患儿,男,11岁,因腹胀、皮肤黄染8年,呕血4次于1997年8月15日急入我院。患儿自3岁时渐出现腹胀、皮肤黄染、精神食欲尚可,无其他不适,未进行治疗。1月前无诱因出现呕血,量约300ml,排柏油样大便,在当地医院诊治,未查明病因,行简单对症治疗呕血停止。患儿入院1天再次出现呕血,量约1000ml左右。体检:神志清楚,精神差,面色腊黄,双眼巩膜轻度黄染,口唇苍白,心肺无异常。腹膨隆,腹壁静脉轻度曲张,肝上界左
Children, male, 11 years old, due to abdominal distension, skin yellow dye 8 years, hematemesis 4 times in August 15, 1997 urgency into our hospital. Children from the age of 3 gradually bloating, yellow skin, mental appetite is acceptable, no other discomfort, no treatment. 1 month ago there was no incentive to vomiting blood, the amount of about 300ml, row of asphalt-like stool in the local hospital for treatment, did not identify the cause, the line of simple symptomatic treatment of vomiting stopped. 1 day after admission to hospital children vomiting again, the amount of about 1000ml. Physical examination: conscious, poor spirit, looking wax yellow, slightly scleral bilateral yellow dye, pale lips, no abnormal heart and lung. Abdominal bulging, mild abdominal varicose veins, upper left hepatic