病例摘要 患女,11岁。以食欲不振1年,腹胀,浮肿30d,加重伴发热3d之主诉入院。1年前不明原因偏食、挑食、食欲差,渐渐乏力,消瘦、学习差,面色苍白,给服补血露等药物,病情有好转,仍能继续上学,但消瘦越来越明显,30d前出现浮肿,以两下肢明显,不思饮食,腹胀,偶感腹痛,有时呈持续性,不放射,在当地医院经腹部B超示肝大,胆囊继发性改变,诊断为乙型肝炎,肝硬变腹水,缺铁性贫血,给输血,抗炎,口服补血露及助消化药物等住院7d,病情稍好转,带药出院,但精神差,消瘦,时有盗汗,发热。3d前腹胀明显,尿量减 Case Summary Female, 11 years old. To 1 year of loss of appetite, bloating, edema 30d, increased with fever 3d main complaint admission. 1 year ago, unexplained partial eclipse, picky eaters, poor appetite, gradual fatigue, weight loss, poor learning, pale, giving blood serum and other drugs, the condition improved, still can go to school, but the weight loss is more obvious, 30d before the edema , To both lower extremities obvious, do not think diet, abdominal distension, even a sense of abdominal pain, and sometimes persistent, non-radiation, in the local hospital through the abdominal B ultrasound showed liver, gallbladder secondary changes, diagnosed as hepatitis B, liver cirrhosis ascites , Iron deficiency anemia, blood transfusion, anti-inflammatory, oral budesonide and digestive drugs and other hospitalized 7d, slightly improved condition, with the drug discharged, but the spirit of poor, weight loss, night sweats, fever. Significant abdominal distension before 3d, urine output decreased