患者 ,男性 ,2 6岁 ,农民。 1 999年 2月 6日就诊 ,自述乏力、纳差、腹胀、恶心、厌油伴尿赤黄 ,半月前在当地镇医院按急性黄疸型肝炎治疗 ,病情加重转来我院。入院检查 :一般情况较差 ,皮肤巩膜重度黄染 ,如桔黄色 ,右手臂见一枚蜘蛛痣 ,未见肝掌。心肺未见异常 ,腹胀气 ,无腹 Patient, male, 26 years old, farmer. On February 6, 1999, he was referred for fatigue, anorexia, abdominal distension, nausea, and tired of oil with red and yellow. He was treated by acute jaundice hepatitis in a local town hospital half a month ago and was transferred to our hospital for exacerbations. Admission examination: poor general situation, severe scleral skin yellow dye, such as orange, right arm see a spider mole, no liver palms. Heart and lung no abnormalities, bloating gas, no belly