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患者,女,36岁。因周身乏力,纳差,恶心呕吐,腹胀,肝区隐痛一个月,皮肤巩膜黄染三周,颜面苍白半个月,于1983年3月28日入院。无特殊用药史。查体:T36.6℃,p84次/分,BPl40/90mmHg。重度贫血貌,皮肤巩膜中度黄染。心尖部可闻及2—3级缩鸣,两肺(一),肝脾不大,右下肢内踝部外伤后感染灶一处。化验:WBC31600,N84％,L16％,RBC90万,间有少量小红细胞,Hb3g,P~t14.4万,网织细胞1％,尿三胆(+),大便潜血(+),TTT19单位,TFT(卅),SGPT(改良金氏法)554单位,总胆红素8.1mg％,A/G=4.3/3.3,HB—SAg(RPHA法)(一)。诊断:病毒性肝炎急性黄疸型,继发单纯红细胞性贫血。给予能量合剂,新鲜同型血,小量激素,肝太乐
Patient, female, 36 years old. Due to whole body fatigue, anorexia, nausea, vomiting, abdominal distension, liver pain area a month, skin scleral yellow dye for three weeks, pale face for half a month, in March 28, 1983 admission. No special medication history. Physical examination: T36.6 ℃, p84 times / min, BPl40 / 90mmHg. Severe anemia appearance, the skin sclera moderate yellow dye. Apex can be heard and 2-3 Ming Ming, both lungs (a), small spleen and liver, right lower extremity ankle trauma infection in one. Assay: WBC31600, N84%, L16%, RBC90 million, a small amount of red blood cells, Hb3g, P144000, reticulocyte 1%, urinary gallbladder (+), fecal occult blood (+), TTT19 units, TFT (卅), SGPT (modified golden method) 554 units, total bilirubin 8.1mg%, A / G = 4.3 / 3.3, HB-SAg (RPHA method) Diagnosis: Acute jaundice of viral hepatitis secondary to simple red cell anemia. Give energy mixture, fresh with the same type of blood, a small amount of hormone, liver too much music