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患者女,14岁,因下肢酸痛、乏力、倦怠、食欲不振半年来我院就诊。既往无头痛史。查体:T36.8℃,P76次·min~(-1),R18次·min~(-1),BP110/70mmHg,体型消瘦,营养不良,手指甲扁平,颜色发白,浅表淋巴结未及肿大,心、肺、脾、腹未见异常。查血常规:WBC6.2×10~9·L~(-1),N0.68,L0.33,RBC4.12×10~(12)·L~(-1),PLT158×10~9·L~(-1),Hb11.5g·dL~(-1)。肝功能正常,血钙1.94mmol·L~(-1),血铁24umol·L~(-1),血锌10.58umol·L~(-1)。诊断为钙锌缺乏症,给
Female patient, 14 years old, due to lower limb pain, fatigue, fatigue, loss of appetite in our hospital for six months. No history of headache. Examination: T36.8 ℃, P76 times · min ~ (-1), R18 times · min ~ (-1), BP110 / 70mmHg, body weight loss, malnutrition, fingernail flat, white color, superficial lymph nodes And swollen, heart, lung, spleen, abdomen no exception. Blood routine examination: WBC6.2 × 10 ~ 9 · L ~ (-1), N0.68, L0.33, RBC4.12 × 10 ~ (12) · L ~ (-1), PLT158 × 10 ~ 9 · L ~ (-1), Hb11.5g · dL ~ (-1). Hepatic function was normal, serum calcium 1.94mmol·L ~ (-1), blood iron 24umol·L ~ (-1), blood zinc 10.58umol·L ~ (-1). Diagnosis of calcium and zinc deficiency, to