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临床资料:患儿陈××,女,5个月。住院号23285。因发现肝肿大2月,伴发热、呕吐2天,于1986年8月20日入院。体检:体温38.5℃(×),脉搏100次,呼吸21次,体重5kg。神志清,精神萎靡,体型瘦小,面色苍白,颊部皮下脂肪丰满。前因及眼窝明显凹陷。粘膜干燥,皮肤弹性差,呈中～重度脱水征。头面部五官无特殊,咽无充血。双肺呼吸音粗,未闻及干湿性罗音。心界无扩大,心率100次,心律整,第一心音略为低钝,各瓣膜区未闻及病理性杂音。腹软,微胀,无触痛,肝脏下缘于右肋弓下锁骨中线上10～11
Clinical data: Children Chen × ×, female, 5 months. Hospital number 23285. Hepatomegaly found in February, with fever, vomiting for 2 days, on August 20, 1986 admission. Physical examination: body temperature 38.5 ℃ (×), pulse 100 times, breathing 21 times, weight 5kg. Conscious, apathetic, thin body, pale, subcutaneous fat plump cheeks. An antecedent and obvious sunken eye socket. Mucosa dry, poor skin elasticity, showed moderate to severe signs of dehydration. No facial features facial features, no congestion of the throat. Breath sounds coarse lungs, did not smell and wet and dry rales. No expansion of the heart, the heart rate 100 times, heart rhythm, the first heart sound slightly blunt, the valve area has not heard of pathological murmur. Abdominal soft, slightly bulging, no tenderness, the lower edge of the liver under the arch in the right clavicle 10 ~ 11 midline