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患者，男，23岁，农民，住院号7435。因发热头痛呕吐3天，伴黄染1天、于1992年10月3日入院。3天前，突然发热、体温39C，畏寒、头痛、以前额为甚、阵性加剧时伴非喷射性呕吐。病情逐渐加重。1天前，腹部胀满不适、隐痛、偶尔较剧烈，发现眼发黄。患病以来，乏力，纳差厌油，尿色黄，似浓茶样。入院时查体：T36.8C、P76次/分、R19次/分。BP13/8kPa。痛苦面容、神清、巩膜轻度黄染。颈阻。腹软、无压痛、肝助下2厘米，剑下3厘米、质软、轻压痛。布氏征、克氏征均阴性。周围血白细胞18.4×10~9/L、中性0.75、淋巴0.25。尿常规：蛋白（+），尿胆原（+），尿胆红质、尿胆素（—）。肝功能ALP283.5~u。SB70.97umol/L、A/G41.8/31.5g/
Patient, male, 23 years old, farmer, hospital number 7435. Due to fever, headache and vomiting for 3 days, with yellow dye 1 day, on October 3, 1992 admission. 3 days ago, a sudden fever, body temperature 39C, chills, headache, the forehead is staggering, with non-jet-induced vomiting. The condition gradually aggravated. One day ago, the abdomen was full of discomfort, pain, occasionally more violent, found that the eye yellow. Since the illness, fatigue, anorexia tired of oil, urine yellow, like thick tea-like. Admission examination: T36.8C, P76 times / min, R19 times / min. BP13 / 8kPa. Painful face, God clear, scleral mild yellow dye. Neck resistance. Abdominal soft, no tenderness, liver support 2 cm, 3 cm under the sword, soft, light tenderness. Brine’s sign, Keshi sign were negative. Peripheral blood leukocytes 18.4 × 10 ~ 9 / L, neutral 0.75, lymph 0.25. Urine routine: protein (+), urobilinogen (+), urinary bilirubin, urobilinogen (-). Liver function ALP283.5 ~ u. SB70.97umol / L, A / G41.8 / 31.5g /