患儿,女,1岁。入院前3个月始面色苍自,腹部胀大,进行性加重,当地医院以“贫血”给铁剂治疗,症状无好转,并发现肝、脾肿大,有时腹泻,为稀水便,无脓血及腹痛,入院前3天出现皮疹,以躯干部皮肤多见。病后精神、食欲差,平素易患“肠炎”。无结核、肝炎、鼻衄出血史。第三胎,第三产,足月顺产,母乳喂养,3个月抬头、7个月会坐,至今不会站立,父母身体健康,非近亲结 Children, female, 1 year old. 3 months before admission, her face was swollen and its abdomen was swollen with aggravating symptoms. Local hospitals treated with iron anemia with no symptoms and found liver, splenomegaly and sometimes diarrhea, Pus and abdominal pain, rash appeared 3 days before admission to the trunk of the skin more common. After the illness, poor appetite, usually predisposed to “enteritis.” No tuberculosis, hepatitis, epistaxis bleeding history. Third, third, full term, breastfeeding, raised in 3 months, 7 months will sit, so far will not stand, parents in good health, non-close relatives