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病历摘要:患儿男性,11岁,住院号76091,以面黄乏力四个月,伴阵发性腹痛于1984年3月17日入院。病来无发热、咳嗽、咳痰及咯血,也无呕血及黑便史,且无外伤史,但配,体弱。一年来间断吃牛奶,父母非近亲婚素日否认其它病史。查体:营养较差,慢性病容,呈重度贫血貌,心尖部可闻Ⅱ级收缩期杂音,其它未见异常。实验室检查:血红蛋白3.8g/dl,红胞142万,白细胞7800,中性72%,淋巴24%,单核细胞4%,网织红细胞7.9%,血小板21万,出血时间2分,凝血时间3分,末
Medical record summary: Male patient, 11 years old, hospital number 76091, with facial weakness for four months, accompanied by paroxysmal abdominal pain was admitted on March 17, 1984. No fever, cough, sputum and hemoptysis, nor hematemesis and melena history, and no history of trauma, but with frail. A year to stop eating milk, parents of non-relatives of marriage denied other medical history. Physical examination: poor nutrition, chronic disease, was severe anemia appearance, apex symphony Ⅱ can be heard murmur, no other anomalies. Laboratory tests: hemoglobin 3.8g / dl, erythrocytes 1.42 million, white blood cells 7800, 72% neutral, lymphatic 24%, monocytes 4%, reticulocytes 7.9%, platelets 210 000, bleeding time 2 minutes, clotting time 3 minutes, the end