论文部分内容阅读
姓名顾××,女,11岁,增城人,住院号188932。于1978年8月10日入院。现病史:患儿于1978年6月中旬开始,家人发现其眼黄、尿黄。6月22日发热38～39℃,神怠,胃口尚可。在当地按急性黄疸型肝炎治疗,黄疸有减退。但在7月2日患儿自诉腹痛,以上腹部为主,呈阵发性,偶有呕吐,曾呕出蛔虫1条;大便黄色、烂,1～2次/天,未见脓血;7月19日黄疸加深,腹痛加剧,在当地县医院住院检查,WBC 30,600个,核左移,大便灰白色,疑肝胆道感染,经几间上级医院诊治后,又回当地医院住院;住院期间按肝胆道感染治疗,用过青霉素、红霉素、卡那霉素,症状曾有缓解,热退、黄疸减、腹痛好转;但8月3日又高热、
Name Gu × ×, female, 11 years old, Zengcheng, hospital number 188932. Admitted to hospital on August 10, 1978. Current medical history: children in mid-June 1978 began, the family found its eye yellow, urine yellow. June 22 fever 38 ~ 39 ℃, Shen Li, appetite acceptable. According to the local treatment of acute jaundice hepatitis, jaundice has diminished. However, in July 2 children with private prosecution abdominal pain, mainly in the abdomen, paroxysmal, occasional vomiting, had vomit a roundworm 1; stool yellow, rotten, 1 to 2 times / day, no sepsis; Month jaundice, abdominal pain intensified in the local county hospital examination, WBC 30,600, left nuclear shift, gray stool, suspected liver biliary tract infection, after several higher-level hospital diagnosis and treatment, back to the local hospital; inpatient treatment by hepatobiliary Road infection treatment, used penicillin, erythromycin, kanamycin, symptoms have been alleviated, heat withdrawal, jaundice reduction, abdominal pain improved; but on August 3 and fever,