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我院于1982年曾先后收治小儿重型肝炎5例,病情演变迅速,预后凶险,特别是2岁以下的2例全部死亡。为提高对婴幼儿重型肝炎早期诊断的认识,现将我院曾行尸解的一例婴儿重型肝炎报告如下: 病例:男,4个月,住院号529。1982年5月27日拟诊急性黄疸型肝炎入院。入院前一周患儿尿色变黄,并渐加深,3天后家人发觉患儿眼黄伴纳减及食后呕吐,伴咳嗽。经县医院查肝功能。黄疸指数70u,TTT14u,CFT册,ZnTT18u,SGPT620u,转来本院。入院检查:体温36.8℃,脉搏120次,呼吸28次,血压72/40,神清,发育营养尚可,呼吸平顺,无肝臭,皮肤巩膜中度黄染,无出血点及蜘蛛痣,前囱不胀,球结膜无充血、水肿,眼球活动正常,咽无充血;
Our hospital admitted to pediatric severe hepatitis in 1982, has 5 cases, the rapid evolution of the disease, the prognosis dangerous, especially in 2 cases of 2-year-old all died. To raise the awareness of early diagnosis of severe hepatitis in infants and young children, an autopsy case of infantile severe hepatitis in our hospital was reported as follows: Case: male, 4 months, hospitalized 529. On May 27, 1982, acute jaundice Hepatitis is admitted. A week before admission, urine color yellowing, and gradually deepened, 3 days later, the family found that children with reduced appetite and nausea and vomiting after eating, with cough. The county hospital check liver function. Jaundice index 70u, TTT14u, CFT books, ZnTT18u, SGPT620u, transferred to our hospital. Admission examination: body temperature 36.8 ℃, pulse 120 times, breathing 28 times, blood pressure 72/40, Shen Qing, development of nutrition is acceptable, smooth breathing, no liver odor, skin sclera moderate yellow dye, no bleeding points and spider nevus, Huanbian expansion, conjunctival hyperemia, edema, normal eye activity, no congestion of the pharynx;