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患儿女,4个月,因发热、咳嗽4 d,查体发现肝脾肿大2 d来诊。患儿系第二胎第二产,足月剖宫产出生,无窒息史;母乳喂养,按时预防接种。家族史:父母非近亲结婚,其兄8岁,体健,家族中未见同类病患者。体检:体温36·2℃,脉搏128次/min,呼吸31次/min,体重7 kg。发育正常,营养稍差,神志清
Children with children, 4 months, due to fever, cough 4 d, physical examination found hepatosplenomegaly 2 d visit. Pediatric second-line second-term, full-term cesarean section birth, no history of asphyxia; breastfeeding, vaccination on time. Family history: parents of non-relatives married, his brother 8 years old, healthy, no similar patients in the family. Physical examination: body temperature 36.2 ℃, pulse 128 beats / min, breathing 31 beats / min, weight 7 kg. Normal development, nutrition is slightly worse, clear consciousness