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患者,男,50岁。因感冒,发烧持续不退,体温高达39.6℃。于晚间自服新速效感冒片1片,体温降至正常,次日,体温再度上升至39.6℃,又服新速效感冒片1片,体温迅速降至正常。第三日发现尿黄,巩膜黄染,并急剧加重,伴恶心、腹胀、持续呃逆。急查肝功:转氨酶3000u/L,总胆红素155.2umol/L、直接胆红素98.90umol/L,肝酶谱:碱性磷酸酶232u/L,γ-谷氨酰转肽酶244u/L,胆碱脂酶6935u/L,查体见肝脏肿大,立即嘱患者卧床,给予保肝治疗。静脉输注清开灵,葡萄糖醛酸酯、维生素C及谷胱苷肽。20天后肝功及肝酶谱指
Patient, male, 50 years old. Due to a cold, fever continued, the body temperature up to 39.6 ℃. In the evening self-service new effective cold tablets 1, the body temperature dropped to normal, the next day, the body temperature rose again to 39.6 ℃, and served a new quick-acting cold tablets, body temperature quickly dropped to normal. The third day found that urine yellow, scleral yellow dye, and a sharp increase, with nausea, bloating, sustained hiccup. Acute liver function test: aminotransferase 3000u / L, total bilirubin 155.2umol / L, direct bilirubin 98.90umol / L, liver enzymes: alkaline phosphatase 232u / L, γ- glutamyl transpeptidase 244u / L, cholinesterase 6935u / L, check the body see the liver enlargement, immediately Zhu Huanzhe bed, give liver protection treatment. Intravenous Qing Kailing, glucuronide, vitamin C and glutathione. 20 days after liver function and liver enzymes refers to