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男,44岁,住院号247860。于1980年3月初感胸闷、心悸、心律不齐,心电图提示频繁室性早搏,自1980年7月10日来我院诊治,给予丙吡胺(每日300毫克)治疗,至9月初患者觉上腹饱胀不适,巩膜、皮肤出现黄染,以后日渐加重,且有皮肤瘙痒,齿龈出血,尿色深黄。于10月初曾出现白色大便,持续约10余日。无上腹部疼痛、恶心、呕吐及发热等症状。9月29日停用丙吡胺,服用中草药及强的松(30毫克/日)治疗半月余,巩膜、皮肤黄染未见减轻,拟诊阻塞性黄疸而收住院。患者1966年曾有无黄疸型肝炎病史,此后肝功能正常。体检:体温36.2℃,脉搏78次/分,血压150/90毫米汞柱.神志清,一般情况尚可,巩膜、皮肤深
Male, 44 years old, hospital number 247860. In early March 1980 early chest tightness, heart palpitations, arrhythmia, ECG prompt frequent ventricular premature beats, since July 10, 1980 came to our hospital for treatment, given pyridine (300 mg daily) treatment until early September patient consciousness Suffering from abdominal discomfort, sclera, the skin appears yellow dye, after the gradual increase, and there is itchy skin, bleeding gums, dark yellow urine. White stools appeared in early October and lasted for about 10 days. No upper abdominal pain, nausea, vomiting and fever and other symptoms. September 29 discontinued disopyramide, taking Chinese herbal medicine and prednisone (30 mg / day) for more than half a month, sclera, no reduction of yellow skin, the proposed obstructive jaundice admitted to hospital. There was no history of jaundice hepatitis in 1966, and liver function was normal thereafter. Physical examination: body temperature 36.2 ℃, pulse 78 beats / min, blood pressure 150/90 mm Hg. Consciousness, the general situation is acceptable, sclera, deep skin