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患儿,女,6岁。两月前无明显诱因感腹痛,以右上腹及脐周为甚,伴腹泻,3～4次/日,为黄色稀水样或糊状便,周身乏力,食欲减退。病后1周,体温渐升,到当地诊所求治,诊断不清,给予青霉素、庆大霉素治疗,热退,但其他症状不缓解。到公社及县医院诊断为“多发性肝囊肿”,因治疗无好转于1983年9月8日转入我院。体检:体温36.8℃,发育营养欠佳,慢性病容,巩膜无黄染。心肺正常。肝上界第五肋间,下界肋下5cm,剑下9cm,质软,表面光滑,压痛明显。脾肋下1cm。GPT200u,TTT13u,ZnTT23u。总蛋白80g/L,A36g/L,黄疸指数7u。Hb86g/L,WBC5.4×10~9/L。超声波检查:肝上界5肋间,前后径8.5cm,肋下5cm,?突下9cm,肝脏体表投影
Children, female, 6 years old. Two months ago no obvious incentive to feel abdominal pain, to the right upper quadrant and umbilical weeks is even more, with diarrhea, 3 to 4 times / day, for the yellow watery or pasty, whole body fatigue, loss of appetite. 1 week after illness, body temperature gradually increased, to the local clinic for treatment, diagnosis is not given penicillin, gentamicin treatment, thermal withdrawal, but other symptoms do not ease. To the commune and county hospitals diagnosed as “multiple hepatic cysts”, due to no improvement in treatment on September 8, 1983 into our hospital. Physical examination: body temperature 36.8 ℃, poor nutrition, chronic disease, sclera no yellow dye. Cardiopulmonary normal. Fifth upper hepatic intercostal space, lower rib 5cm, under the sword 9cm, soft, smooth surface, tenderness significantly. Spleen rib 1cm. GPT200u, TTT13u, ZnTT23u. Total protein 80g / L, A36g / L, jaundice index 7u. Hb86g / L, WBC5.4 × 10 ~ 9 / L. Ultrasonography: upper hepatic 5 intercostal space, anteroposterior diameter of 8.5cm, ribs under 5cm, suddenly under 9cm, the liver surface projection