患者女性,22岁,已婚,农民。8天前开始畏寒、发热、疲倦、尿黄。3天前饮食大减,厌油、恶心、呕吐,眼及皮肤粘膜黄疸逐渐加深。神志不清12小时,由外院以“急性黄疸型肝炎”转入我院。该患者患甲状腺机能亢进症已4年。近两年来自动停药,但仍有多汗、多食、手颤、消瘦现象。否认有肝炎、黄疸病史。病前曾与家人争吵。查体:T39℃,P140次/分,BP140/80mmHg。稍消瘦,神志不清。皮肤粘膜中度黄染。无蜘蛛痣,眼 Patient female, 22 years old, married, farmer. 8 days ago chills, fever, fatigue, urine yellow. 3 days ago diet reduced, tired of oil, nausea, vomiting, eye and skin mucosa jaundice gradually deepened. Confusion for 12 hours, from the hospital to “acute jaundice hepatitis” into our hospital. This patient has been suffering from hyperthyroidism for 4 years. In the past two years, the drug was stopped automatically, but there was still sweat, more food, hand tremor and weight loss. Denied the history of hepatitis, jaundice. I had an argument with my family before my illness. Physical examination: T39 ℃, P140 beats / min, BP140 / 80mmHg. Slight weight loss, confusion. Mild yellowish skin and mucous membrane. No spider nevus, eyes