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病历摘要患儿,男,3岁。酱油色尿伴皮肤发黄2天。患儿4天前吃煮蚕豆少量,食后未发现异常。2天后吃蚕豆约200克,4～5小时后发现尿呈酱油色,次日晨出现面色发黄,且逐渐加重,阵发性腹痛,恶心呕吐、乏力,而畏寒发热不明显,病后排尿8次均为酱油色。患儿既往多次吃蚕豆,未发现上述症状。查体:T37.2℃,R30,P150,BP13.3/8.0kPa,烦躁,贫血貌,皮肤巩膜轻度黄染,无出血点,浅表淋巴结不大。心界不大,心律
Summary of medical records Children, male, 3 years old. Soy sauce color with yellow skin 2 days. 4 days before eating children eat a small amount of beans, no abnormalities found after eating. 2 days to eat about 200 grams of broad beans, 4 to 5 hours after the discovery of urine was soy sauce color, appeared the next day morning yellow, and gradually increased, paroxysmal abdominal pain, nausea, vomiting, fatigue, and chills fever was not obvious, after the disease Urination 8 times are soy sauce color. Children repeatedly eat beans in the past, did not find the above symptoms. Physical examination: T37.2 ℃, R30, P150, BP13.3 / 8.0kPa, irritability, anemia, skin scleral mild yellow dye, no bleeding, superficial lymph nodes is not. Little heart, heart rate