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患儿,男、两岁半,近半年来因时有腹痛哭闹,于1989年2月5日来院诊治。入院检查:一般情况良好,测体温37℃。浅在淋巴结不大,心肺正常,腹软,肝触及右肋下4cm,“B超”示,有多个散在的界线清楚的结节,似萄萄串状,诊为肝母细胞瘤。实验室检查:肝功能正常;血尿便三大常规正常。两次测定甲胎蛋白均阴性。3天之后肝急速增大入盆腔,小儿表现烦燥,疼痛难忍,于第4天晚死亡。患儿外婆3年前死于肝癌。肝母细胞瘤(Hepatoblastoma)是一种几乎专门发生于婴幼儿的恶性度较高的肿瘤,属胚胎性肿瘤,此肿瘤常
Children, male, two and a half, for nearly six months because of abdominal pain and crying, on February 5, 1989 to hospital for treatment. Admission examination: generally good condition, measuring body temperature 37 ℃. Shallow lymph nodes in the small, normal heart and lung, abdominal soft, liver reach the right rib 4cm, “B-ultra” show, there are scattered in a clear nodule, like grape-like string, diagnosed as hepatoblastoma. Laboratory tests: normal liver function; normal urine hematuria three. Two tests were negative for alpha-fetoprotein. After 3 days, the liver rapidly increased into the pelvis, and the child showed irritability and pain and died on the fourth day. My grandmother died of liver cancer three years ago. Hepatoblastoma is a malignant tumor that occurs almost exclusively in infants and young children and is an embryonal tumor.