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病例患者57岁,女性。主诉全身倦怠感。9年前行子宫肌瘤摘出术时曾有输血史。2年前发现肝功能障碍后,就近到医院定期治疗。1个月前开始全身倦怠感明显。门诊检查:LDH1,374单位,GOT1,630karm-en 单位,GPT670Karmen 单位,γ—GTP259单位,LAP893单位,总胆红素49.59μmol/L,直接胆红素27.36μmol/L,为进一步检查治疗而入院。无饮酒及吸烟史。入院时,末发现贫血、黄疸及四肢水肿。入院后检查:尿便无异常,白细胞数3,900,红细胞数434万,血小板数12万,凝固系无异常。生化检查为总蛋白69g/L,白蛋白60%,BUN10mmol/L,肌酸酐79.56rmol/L,尿酸154.65μmol/L,LDH339单位,GOT31Karmen 单位,GPT22Karmen 单位γ—GTP82单位,LAP347单位,AI—P12.4K—A 单位,总胆红素10.26μmol/L,总胆固醇6.23mmol/L,TTT1.6单位,ZTT3.4单位,胆硷酯酶4900国际单位/L,
The patient was 57 years old and female. Complaints of whole-body burnout. He had a history of blood transfusion 9 years before the excision of uterine fibroids. After liver dysfunction was found 2 years ago, he went to the hospital for regular treatment. One month ago, he began to have a feeling of overall burnout. Outpatient examination: LDH 1,374 units, GOT1, 630karm-en units, GPT670Karmen units, γ-GTP259 units, LAP893 units, total bilirubin 49.59μmol/L, direct bilirubin 27.36μmol/L, admitted for further examination and treatment . No drinking and smoking history. On admission, anemia, jaundice, and edema of the extremities were found at the end. After admission, there was no abnormality in urine. The number of white blood cells was 3,900, the number of red blood cells was 4.34 million, and the number of platelets was 120,000. There was no abnormality in the coagulation system. The biochemical tests were total protein 69 g/L, albumin 60%, BUN 10 mmol/L, creatinine 79.56 rmol/L, uric acid 154.65 μmol/L, LDH339 units, GOT31 Karmen units, GPT22 Karmen units γ-GTP82 units, LAP 347 units, AI-P12 .4K-A units, total bilirubin 10.26 μmol/L, total cholesterol 6.23 mmol/L, TTT 1.6 units, ZTT 3.4 units, cholesteryl esterase 4900 IU/L,