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患儿男,6岁。20天前患腮腺炎,1周后治愈。10天前患儿面色黄,翌日巩膜黄染,尿呈浓茶色,尿量减少至每日100～150ml。神萎,头痛,恶心,呕吐。在某医院诊断为黄疸性肝炎。4日前面黄加重,腰痛,全身浮肿,尿呈浅酱油色,乃住院。既往体健,无肝、肾、贫血病史。父母体健。体检:体温37.8℃,脉搏92次/分,呼吸32次/分,血压120/60mmHg。表情淡漠,全身轻度浮肿,口唇苍白,皮肤未见出血点,巩膜黄染。肝肋下2cm,质软,轻度压痛,脾未及,神经系统正常。检查:血红蛋白40g/L,白细胞14×10~9/L,中性粒细胞82%,淋巴细胞18%,红细胞明显大小不等,形态不同,色素充盈不
Children male, 6 years old. Mumps 20 days ago, 1 week after cure. 10 days ago, children face yellow, yellow sclera the next day, urine was dark brown, urine output reduced to 100 ~ 150ml daily. Wilt, headache, nausea and vomiting. In a hospital diagnosis of jaundice hepatitis. 4 days ago face yellow, back pain, body edema, urine was shallow sauce color, is hospitalized. Past physical health, no liver, kidney, anemia history. Parental health. Physical examination: body temperature 37.8 ℃, pulse 92 beats / min, breathing 32 beats / min, blood pressure 120 / 60mmHg. Indifferent expression, body mild edema, pale lips, skin no bleeding, scleral yellow dye. Liver ribs 2cm, soft, mild tenderness, spleen, the nervous system is normal. Check: hemoglobin 40g / L, white blood cells 14 × 10 ~ 9 / L, 82% of neutrophils, lymphocytes 18%, significantly different sizes of red blood cells, different morphology, pigment filling is not