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王×,男,19岁,住院号16672。主诉乏力,纳差6天,眼黄、尿黄2天,于1982年7月21口入我院传染科隔离观察。患者为汽车驾驶员,近三个月多次外出执勤,有不洁饮食史。查体:皮肤及眼巩膜轻度黄染,心肺未发现异常,肝在右肋下2cm,质软,有轻度触叩痛,脾在左肋下1cm,质软,肠呜亢进。三大常规正常;尿胆红质强阳性,尿胆元阴性;肝功能黄疸指数30单位,胆红质
Wang ×, male, 19 years old, hospital number 16672. The main complaint of fatigue, anorexia 6 days, eye yellow, urine yellow 2 days, in July 1982 into our hospital 21 infectious disease isolation observation. The patient is a car driver who has been on duty many times in the past three months and has unclean diet history. Physical examination: The skin and eye sclera slightly yellow dye, no abnormal heart and lung, liver in the right rib 2cm, soft, mild touch percussion pain, spleen in the left rib 1cm, soft, intestinal hyperactivity. Three normal routine; urinary bilirubin strong positive, urinary gallbladder negative; liver function jaundice index 30 units, bilirubin