病例摘要男,3(8/(12))岁,因发热、肝脾肿大2个月,咳嗽气急13天于1980年2月29日入院。患儿于2个月前起不规则发热,食欲减退、腹胀、全身乏力,在某院检查发现巩膜微黄,肝肋下3厘米、脾未触及、血SGPT140单位、尿胆红质阳性,诊断“肝炎”,保肝治疗一个月后,血SGPT 恢复正常,但仍有发热,肝脾进行性增大。13天前起咳嗽、气急、多汗,经抗感染治疗无效,转入我院。既往无明显结核、肝炎接触史。入院时体检:体温37.2℃、心率120次/分、呼吸29次/分、血压100/68mmHg。急性病容,消瘦,呼吸急促,鼻翼扇动,无发绀,能平卧。颈部,腋下、腹股 Case Summary Male, 3 (8 / (12)) years of age, due to fever, hepatosplenomegaly 2 months, cough and urgency 13 days in February 29, 1980 admission. Children with irregular fever 2 months ago, loss of appetite, abdominal distension, generalized weakness, found in a hospital scleral micro yellow, liver ribs 3 cm, spleen not touched, blood SGPT140 units, urine bilirubin positive, diagnosis “Hepatitis”, a month after liver treatment, blood SGPT returned to normal, but still fever, liver and spleen progressive increase. 13 days ago cough, shortness of breath, sweating, invalid after anti-infective treatment, transferred to our hospital. No previous past tuberculosis, hepatitis history of exposure. Physical examination on admission: body temperature 37.2 ℃, heart rate 120 beats / min, breathing 29 beats / min, blood pressure 100/68 mmHg. Acute illness, weight loss, shortness of breath, nose flap, no cyanosis, can lie down. Neck, armpit, belly