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1病例报告患者男,82岁。因前列腺增生间断服用癃闭舒胶囊2年,因发现尿黄、食欲缺乏,伴乏力、消瘦15天就诊。既往无心、脑、肝、肺、肾等脏器疾病史,亦无肝炎、结核等传染病史及接触史,否认近期服用过其他药物。查体:皮肤及巩膜中度黄染,无肝掌及蜘蛛痣,肝脾肋下未触及。实验室检查:谷丙转氨酶535 U/L、谷草转氨酶703 U/L、γ-谷氨酰转肽酶467 U/L、总胆汁酸142.2μmol/L、胆碱酯酶4386 U/L、总胆红素98.7μmol/L、直接
1 case report Male patient, 82 years old. Intermittent prostatic hyperplasia take 癃 closed Shu capsule 2 years, found urine yellow, lack of appetite, with fatigue, weight-loss treatment for 15 days. Past no mood, brain, liver, lung, kidney and other organ disease history, nor hepatitis, tuberculosis and other infectious diseases history and exposure history, denied the recent use of other drugs. Physical examination: the skin and sclera moderate yellow dye, no liver palms and spider nevus, liver and spleen ribs did not touch. Laboratory tests: alanine aminotransferase 535 U / L, aspartate aminotransferase 703 U / L, γ-glutamyl transpeptidase 467 U / L, total bile acid 142.2 μmol / L, cholinesterase 4386 U / L, Bilirubin 98.7μmol / L, directly