论文部分内容阅读
病历摘要 患儿,男,20天。因发热腹胀伴皮肤黄染五天,于1991年9月28日入院。发病以来呼吸较用力,纳减,无咳嗽呕吐,小便正常,大便溏薄、呈淡绿色。在外院服中药无效。G_1P_1足月顺产,出生时体重3750克。父母尚健康,母孕期否认TORCH(弓形虫、风疹病毒、单纯疱疹病毒、巨细胞包涵体病毒及其它)感染史。入院诊断:肝脾肿大待查:1、败血症,2、恶性肿瘤。体检:体温38.7℃,呼吸58次/分,心率164次/分,体重4000克,腹围44cm.发育中等,营养可,哭声响,面色苍黄,呼吸规则,全身皮肤、巩膜黄染,前囟平,颈软,心肺(一),腹
Medical record summary children, male, 20 days. Due to fever bloating with yellow skin dye for five days, in September 28, 1991 admission. Breathing since the onset of more force, satisfied reduction, no cough and vomiting, normal urine, stool thin, pale green. Chinese medicine in the hospital service invalid. G_1P_1 full-term birth, birth weight 3750 grams. Parents are still healthy, during pregnancy Neglect TORCH (Toxoplasma gondii, rubella virus, herpes simplex virus, cytomegalovirus and others) infection history. Admission diagnosis: hepatosplenomegaly pending: 1, sepsis, 2, cancer. Physical examination: body temperature 38.7 ℃, breathing 58 beats / min, heart rate 164 beats / min, body weight 4000 grams, abdominal circumference 44cm. Moderately developed, nutritious, crying sound, pale yellow, breathing rules, systemic skin, scleral yellow dye, Flat, soft neck, heart and lung (a), abdomen