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本文报告我院4例Dubin—Johnson氏综合征长期误诊为肝炎。后经肝穿病理证实为Dubin-Johnson现将病例报告如下. 例1:女、22岁,因反复出现黄疸肝功能异常6年,伴乏力纳差肝区不适,每劳累后黄疸加重,按“肝炎”住院.其父、妹均患“黄疸肝炎”已愈.体检;T36.2℃,P38次/分,R20次/分BP130/80mmHg巩膜轻黄,未见肝掌蜘蛛痣,肝上界右锁中线第6肋间,剑下4cm肋下2cm质中,压痛(+)脾脏肋下1cm质中,腹水征(-)血、尿、便常规正常,尿三胆(-),血小板
This report reports 4 cases of Dubin-Johnson’s syndrome misdiagnosed as hepatitis in our hospital. After the liver biopsy confirmed by Dubin-Johnson The case is now reported as follows.Example 1: Female, 22 years old, due to recurrent jaundice liver dysfunction for 6 years, with agility poor liver discomfort, jaundice increased after each exertion, according to “ Hepatitis ”hospitalized, his father and sister were suffering from“ jaundice hepatitis. ”Physical examination; T36.2 ℃, P38 beats / min, R20 beats / min BP130 / 80mmHg sclera light yellow, no liver palms spider nevus, The right intercostal 6th intercostal space, the sword 4cm under the ribs 2cm quality, tenderness (+) spleen rib 1cm in the quality of ascites (-) blood, urine, then normal, urinary gallbladder,