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患者男,17岁,因发热、黄疸、全身酸痛乏力5天于1991年9月19日入院。同村有“钩体病”发生。查体:T38℃,皮肤巩膜黄染,浅表淋巴结肿大有触痛,腓肠肌压痛。心肺(一);肝右肋下1.5cm,质软,有触痛;脾左肋下未触及。WBC90×10~9/L,RBC0.76×10~(12)/L,Hb22.5g/L,Ret180×10~9/L,红细胞脆性>0.04%。尿胆红质弱阳性,尿胆原(卅)。TBil250μmol/L,DBil50μmol/L,凡登白间接(卅),直接(十)。甲肝、乙肝
Patient male, 17 years old, was admitted to hospital on September 19, 1991 due to fever, jaundice and generalized ache fatigue. The same village has “leptospirosis ” occurred. Physical examination: T38 ℃, skin scleral yellow dye, superficial lymph nodes have tenderness, gastrocnemius tenderness. Heart and lung (a); liver right rib 1.5cm, soft, tender; spleen left rib did not touch. WBC90 × 10-9 / L, RBC0.76 × 10-12 / L, Hb22.5g / L, Ret180 × 10-9 / L, erythrocyte fragility> 0.04%. Urine bilirubin weak positive, urinary gallbladder (卅). TBil 250μmol / L, DBil 50μmol / L, Vandenbai indirect (卅), direct (ten). Hepatitis A and B