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患者男性,33岁,广东籍,1982年12月26日晚自感乏力,关节疼痛,恶心,呕吐,食欲不振,次日,体温38℃,在单位卫生所按“上感”对症治疗热未退。12月28日口服氨基比林等药物无效,且呕吐胃内容物,巩膜黄染,皮肤出现散在性出血点,尿黄。12月31日转入某医院治疗,当时血压90/50mmHg,体温39℃,皮肤有散在性出血点,巩膜轻度黄染,眼结膜明显水肿、充血,肝于肋下可及,肾区有叩击痛,尿少。白细胞计数24,000,分叶核86％,经用青霉素,利尿合剂,速尿,氢化可的松等治疗无效,于元月2日转院。患者幼年时患过“蚕豆黄”。
Male, 33 years old, Cantonese, December 26, 1982 night fatigue, joint pain, nausea, vomiting, loss of appetite, the next day, body temperature 38 ℃, according to the unit health clinic “sense” symptomatic treatment of hot Retreat December 28 oral aminopyrine and other drugs ineffective, and vomiting stomach contents, scleral yellow stained skin scattered bleeding, urine yellow. December 31 into a hospital for treatment, when blood pressure 90 / 50mmHg, body temperature 39 ℃, the skin scattered bleeding, mild yellowish sclera, conjunctival obvious edema, congestion, liver in the ribs can reach, the kidney area Percussion pain, less urine. White blood cell count 24,000, 86% lobular, penicillin, diuretic mixture, furosemide, hydrocortisone and other treatment ineffective, on January 2 transfer. Patients with infantile suffering “fava bean yellow.”