论文部分内容阅读
病历摘要患儿,男,9岁,因发烧、面色黄半个月于1983年7月入院。起病时尚有食欲不佳、头痛、头晕。近5天来体温在39℃以上,尿深黄、腹痛、难以起床,大便柏油样。曾用庆大霉素和退热剂。输血300毫升,病前无毒物和肝炎接触史,未食蚕豆,既往健。查体:T38.7℃、P140次,R30次,BP100/50mmHg。发育营养中等,面色苍黄,急性病容,神清,巩膜微黄。心率140次,律齐,心尖部可闻二级收缩期杂音。两肺清,腹平软,肝在右肋下1CM、剑突下3CM、质软无压痛,脾未触及。化检:白红蛋白2.8g、红细胞75万,红细胞压积12％,网状红细胞25％,
Medical records Abstract Child, male, 9 years old, due to fever, looking yellow for half a month in July 1983 admitted. The onset of a poor appetite, headache, dizziness. Body temperature in the past 5 days above 39 ℃, dark urine, abdominal pain, difficult to get up, like stool tarred. Gentamicin and antipyretics have been used. Blood transfusion 300 milliliters, before the disease non-toxic and hepatitis history of exposure, did not eat beans, past health. Physical examination: T38.7 ℃, P140 times, R30 times, BP100 / 50mmHg. Medium nutrition development, pale yellow, acute disease, Shen Qing, yellow sclera. Heart rate 140 times, law Qi, apical symphysis can be heard two systolic murmur. Lung clear, abdominal soft, liver in the right rib 1CM, xiphoid 3CM, soft without tenderness, the spleen did not touch. Chemical tests: white blood protein 2.8g, 750,000 red blood cells, hematocrit 12%, reticulocyte 25%