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患儿,男,3月,住院号67227,病理号01326;生后黄疸进行性加深,在外院经B超、肝功化验论断为“急性黄疸型肝炎”。经治无缓解,黄疸逐渐增重,腹部隆起,呼吸困难,尿少呈浓茶色,于1990年10月26日转入我院。 查体:颜面苍黄,一般状况极差,浅昏迷,叹息样呼吸,皮肤粘膜呈黄绿色,脉细弱,腹部散在多处淤血斑点,腹壁静脉怒张,血流方向自下而上,肝脏下缘于右肋下5 cm,剑突下6～7 cm可及,质硬边钝,表面光滑,余(一);血常规;
The patient, male, in March, hospital number 67227, pathological number 01326; after birth, jaundice progressively deepened, in the external hospital by B-ultrasound, liver function test concluded that “acute jaundice hepatitis.” After no remission, the jaundice gradually gained weight, her abdomen bulged, her breathing was difficult, and her urine was dark brown. She was transferred to our hospital on October 26, 1990. Physical examination: pale face, very poor general condition, light coma, sigh breath, skin and mucous membranes are yellow-green, pulse is weak, the abdomen is scattered in several spots of congestion, abdominal vein engorgement, blood flow from the bottom up, the lower edge of the liver 5 cm below the right rib, 6 to 7 cm below the xiphoid, blunt with hard edges, smooth surface, more than one (1); blood routine;