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患儿,男,6岁。因发热、腹泻、消瘦和出现腹水月余,于1988年6月入院。患儿大便每天7～8次,呈糊状,伴食欲差和乏力。发病前1月余有食生鱼史。体检:体温38.8℃。发育营养均不良。体重11kg,身长85cm,急性病容。巩膜黄染。腹部膨隆,腹围56cm,腹壁静脉显露,有明显移动性浊音。肝剑突下5.5cm,肋下3cm,质中,边缘较钝,压痛明显。脾脐下2cm,有切迹,质较硬,轻压痛。两下肢凹陷性水肿。实验室检查:Hb9g,RBC300万。WBC4700,N46％,L50％,E4％。尿胆元+,胆红素+ 黄疸指数24u,凡登伯间接反应++,直
Children, male, 6 years old. Due to fever, diarrhea, weight loss and the emergence of ascites, more than in June 1988 admitted. Children stool 7 to 8 times a day, was a paste, with poor appetite and fatigue. More than a month before the onset of raw fish history. Physical examination: body temperature 38.8 ℃. Developmental nutrition are poor. Weight 11kg, length 85cm, acute disease. Sclera yellow dye. Abdominal bulging, abdominal circumference 56cm, ventral abdominal ventral revealed obvious shifting dullness. Liver xiphoid 5.5cm, ribs 3cm, quality, the edge of more blunt, tenderness significantly. Spleen umbilical 2cm, a notch, the quality of hard, light tenderness. Two lower limb depression edema. Laboratory tests: Hb9g, RBC300 million. WBC4700, N46%, L50%, E4%. Urobilinogen +, bilirubin + jaundice index 24u, Vanderbilt indirect reaction ++, straight