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病历摘要患儿刘××,女,4岁,广东紫金县八,住院号43455。因左眼有白点,视物不见半年。于1983年12月16日诊为先天性白内障收住院手术。患儿起病前曾患“麻疹”。但无眼红痛及外伤史。患儿为第2胎足月顺产,出产体重2.5kg,1岁内母乳加米糊、奶粉喂养。生后15天曾因肺炎住院。患儿一向食量少,易发热、咳嗽,每年夏季均因发热需住院治疗。间有腹泻,但无明显黄疸、呕吐。发育差于同龄儿童,1岁半会坐及开始出牙。2岁会爬。现仅能说“爸爸”、“妈妈”等单词。母孕期无发热、出皮疹及其他病史。父母非近亲结婚。一兄8岁体健,除外曾祖父患前极性白内障外,家族中无其他类似病者。
Medical records Liu × ×, female, 4 years old, Guangdong Zijin eight, hospital number 43455. Because the left eye has white spots, depending on the material not seen six months. December 16, 1983 diagnosis of congenital cataract hospitalized surgery. Before suffering from children suffering from “measles”. But no eye pain and trauma history. Children with full-term second-term birth of the second birth, the production of body weight 2.5kg, 1-year-old milk plus rice paste, milk feeding. 15 days after birth due to pneumonia hospitalization. Children always have less food, easy to fever, cough, due to fever each summer are hospitalized. Between the diarrhea, but no obvious jaundice, vomiting. Poor development of children of the same age, 1 year and a half will sit and start teething. 2 years old will climb. Can only say “dad”, “mom” and other words. Pregnancy without fever, a rash and other medical history. Parents marry non-relatives. One brother 8 years old body weight, except for the great-grandfather suffering from polar cataracts, the family no other similar diseases.