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患儿,女,1(1/2)岁。因发热、腹泻10天,昏睡、腹胀浮肿1天入院。查体:昏睡状态。皮肤可见色素斑,无出血点。全身浮肿以右侧腹壁及双下肢为著。巩膜轻度黄染。腹部高度膨隆,肝剑下5cm,肋下3cm,脾肋下3cm,边钝、质中等硬,腹水征阳性。X 线检查:小肠胀气无液气平。B 超:腹腔内有大量液体。腹水为桔黄色漏出液。肝功:黄疸指数30u,TTT18、TFT(?)、SGPT196(本院正常值40以下)。总胆红素9.3g。1分钟胆红素4.8mg%,AFP 阴性。入
Children, female, 1 (1/2) years old. Due to fever, diarrhea 10 days, lethargy, abdominal distension edema 1 day admission. Physical examination: lethargic state. Pigmented skin spots, no bleeding point. Whole body edema on the right side of the abdomen and lower extremity. Scleral mild yellow dye. Abdominal height bulge, Liver Sword 5cm, ribs 3cm, Spleen 3cm, while blunt, medium hard, positive signs of ascites. X-ray examination: flatulence no gas level. B super: a large number of liquid in the abdominal cavity. Ascites orange liquid leakage. Liver function: jaundice index 30u, TTT18, TFT (?), SGPT196 (normal hospital below 40). Total bilirubin 9.3g. One minute bilirubin 4.8mg%, AFP negative. Into