病历摘要患者,男性,16岁。因间歇发热、腹胀一年半,于1979年1月27日入院。在1977年7月下旬有间歇发热、腹胀、乏力、盗汗。胃纳稍减。在当地医院查体:肝肋缘下2横指,1个月后脾亦可扪及。肝功能不正常。1978年1月发现肝增大至肋下7cm、剑下12cm。脾肋下4cm。试验性肝穿刺未抽出脓,肝穿刺 Patient summary, male, 16 years old. Due to intermittent fever, abdominal distension for a year and a half, admitted to hospital on January 27, 1979. In late July 1977 there is intermittent fever, bloating, fatigue, night sweats. Reduced appetite Physical examination in the local hospital: Under the liver margin 2 horizontal fingers, 1 month after the spleen can palpable. Liver function is not normal. January 1978 found that the liver increased to ribs 7cm, sword 12cm. Spleen ribs 4cm. Experimental liver puncture did not remove pus, liver puncture