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我院1950～1987年共收治小儿原发性肝脏肿瘤54例。男40例,女14例;1月～3岁24例,4～12岁30例;主要临床表现为上腹部肿胀,病程1～3个月30例,4～6个月22例,7～9个月2例;体检有肝脏肿大,质硬,44例肝在肋下和/或剑突下4.0～10cm,10例～15cm,37例扪及肺块或硬节,23例有压痛或叩击痛,13例脾大,6例黄疸,12例晚期腹水(二例为血性),3例胸水,病程2个月以上者多有贫血、食差、清瘦及不规则发热,半数有肝功损害,HBsAg 2/8例阳性,甲胎蛋白17/30例阳性,7例>375～1000μg/L,同位素
Our hospital from 1950 to 1987 were treated in 54 cases of primary liver tumors in children. 40 cases of male and 14 females; January to 3 years old in 24 cases, 4 to 12 years old in 30 cases; the main clinical manifestations of abdominal swelling, duration of 1 to 3 months in 30 cases, 4 to 6 months in 22 cases, 7 ~ 9 cases in 2 cases; physical examination with liver enlargement, hard, 44 cases of liver in the ribs and / or xiphoid 4.0 ~ 10cm, 10 cases ~ 15cm, 37 cases palpable lung or hard section, 23 cases of tenderness Or percussion pain, 13 cases of splenomegaly, 6 cases of jaundice, 12 cases of advanced ascites (two cases of bloody), 3 cases of pleural effusion, more than 2 months duration of more anemia, food poor, thin and irregular fever, half Hepatic impairment, positive HBsAg 2/8 cases, 17/30 alpha-fetoprotein positive, 7 cases> 375 ~ 1000μg / L, isotopes