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1994年6月25日查房纪要——主治医师 请主管病人的医师报告病历。住院医师 男性,12岁,陕西山阳县中村乡人,于1994年6月21日入院。患儿于1月前开始自觉腹胀无腹痛,并感乏力、食欲减退、厌油腻食物,无恶心呕吐,大小便正常, 尿色不黄,无发热,不咳嗽,皮肤未见黄染,曾在当地治疗1周,用药不详,无效转我院门诊,发现有腹水,量较多,不影响呼吸运动,肝脾肿大,经查乙肝表面抗原阳性,各项肝功正常,诊断为肝硬化,回当地医院住院治疗20余日,精神好转,食欲增加,尿量增多,腹胀减轻,但渐见全身消瘦,大便秘结,皮肤瘙痒,肝脾未见缩小而再次来院以乙型肝炎、肝硬化伴腹水收入院。既往无急慢性
June 25, 1994 Check-round minutes - attending physician in charge of the patient’s physician report. Resident Male, 12, of Nakamura, Sanyo, Shaanxi Province, admitted to hospital on June 21, 1994. Children with abdominal distention in January before no abdominal pain, and flu, fatigue, loss of appetite, tired of greasy food, nausea and vomiting, normal urine, urine is not yellow, no fever, no cough, the skin no yellow dye, once in Local treatment for 1 week, the medication is unknown, invalid transfer to our hospital, found ascites, more volume, does not affect the respiratory movement, hepatosplenomegaly, checked positive for hepatitis B surface antigen, the normal liver function, diagnosis of cirrhosis, Back to the local hospital for more than 20 days of hospitalization, the spirit of improvement, increased appetite, increased urine output, reduce abdominal distension, but gradually see the whole body weight loss, constipation, pruritus, liver and spleen no reduction and again to hospital with hepatitis B, cirrhosis With ascites income hospital. No previous acute and chronic