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1病例介绍病例1,男,10岁,因乏力、恶心、尿黄1周伴轻咳于2008年3月15日以“黄疸型肝炎”收入院。入院查体:T 36.5℃,P 72次/min,R 25次/min,体重30 kg。精神差,呼吸较快,皮肤、巩膜轻度黄染,浅表淋巴结无肿大,咽无充血,颈软,右肺下部语颤减弱,叩诊浊音,呼吸音减弱,左肺呼吸音清晰,无干湿性啰音,心音有力,心率72次/min,律齐,各瓣膜听诊区未闻及病理性杂音,腹平软,肝肋下1 cm,质软,肝区叩击痛(+),脾未及,移动性浊音(-),肠鸣音如常。B超:肝脏弥
1 case description Case 1, male, 10 years old, due to fatigue, nausea, urinary yellow 1 week with light cough on March 15, 2008 to “jaundice hepatitis ” income hospital. Admission examination: T 36.5 ℃, P 72 times / min, R 25 times / min, weight 30 kg. Poor spirit, rapid breathing, skin, scleral mild yellow dye, superficial lymph nodes without swelling, no pharyngeal congestion, soft neck, weakening of the right lower lung fibrillation, percussion dullness, decreased breath sounds, left lung breath sounds clear, no Wet and dry rales, strong heart sounds, heart rate 72 beats / min, law Qi, the valve auscultation area is not known and pathological murmurs, abdominal soft, liver ribs 1 cm, soft, , Splenomegaly, mobility dullness (-), bowel sounds as usual. B super: liver Mi