患者,男,50岁,乏力20余天,眼黄、尿黄3天。入院前20余天,患者无明显诱因出现乏力、嗜睡,偶有腹胀、恶心,自行口服改善循环药物,3天前,发现眼黄、尿黄。既往无肝炎病史,家族中无肝病史。查体:神清,全身皮肤黏膜重度黄染,心肺无明显异常,腹软,无明显压痛、反跳痛,肝、脾肋下未及, Patients, male, 50 years old, less than 20 days fatigue, yellow eyes, yellow urine 3 days. More than 20 days before admission, patients with no obvious incentive to appear fatigue, drowsiness, occasional bloating, nausea, self-improvement of oral drugs, 3 days ago, found that eye yellow, yellow urine. Past history without hepatitis, no history of liver disease in the family. Physical examination: Shen Qing, systemic skin mucosa severe yellow dye, no significant cardiopulmonary abnormalities, abdominal soft, no significant tenderness, rebound tenderness, liver, spleen and ribs did not,