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由于感染性疾病的控制,恶性肿瘤在小儿期的发病率和死亡率相对升高,如对其认识不足可能误诊。我们收集最近曾在外院误诊的4例报告如下。病历摘要一、肝母细胞瘤误诊为营养性贫血1例患儿男,1岁。曾因面黄、食少半月入某院。当时查肝于剑下4cm,肋下3cm,质软。血红蛋白90g/L。诊为营养性贫血。治疗2月贫血未纠正,且又见腹部明显膨隆,遂来本院。检查:重度贫血貌,消瘦。腹膨隆以右上为著,腹壁静脉显露,肝肋缘下9cm,左缘超过腹中线。血红蛋白45g/L,B超检查示肝脏占位性病变,碱性磷酸酶12单位(菩氏法),甲胎蛋白
Due to the control of infectious diseases, the incidence and mortality of malignant tumors in infancy are relatively high, and misdiagnosis may be misdiagnosed if their awareness is poor. We have collected 4 recent reports of misdiagnosis in the Outer Waist Hospital as follows. Medical records summary 1, hepatoblastoma misdiagnosed as nutritional anemia 1 case of male children, 1 year old. Had due to face yellow, eat less than half a month into a hospital. At that time check the liver under the sword 4cm, rib 3cm, soft. Hemoglobin 90g / L. Diagnosis of nutritional anemia. Treatment of anemia in February did not correct, and see the abdomen obviously bulging, then to our hospital. Check: severe anemia appearance, weight loss. Abdominal bulge to the right as the ventral veins revealed, under the hepatic margin of 9cm, left margin of the abdominal line than. Hemoglobin 45g / L, B-ultrasound showed liver space-occupying lesions, Alkaline Phosphatase 12 units (Pu’s method), alpha-fetoprotein