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病历摘要患者:男,56岁,住院号38546。因黄疸后发热伴浮肿2个月,于1974年12月23日入院。患者于同年7月初曾有胃纳差、乏力、上腹部不适,无明显发热。一周后出现尿黄及皮肤黄染,黄疸指数最高30单位,谷丙转氨酶160单位,麝香草酚浊度及絮状试验正常,尿胆红质阳性,血沉46毫米/1小时,白细胞总数4,850,酸性细胞8％,诊断“急性黄疸性肝炎”。经保肝治疗及用少量地塞米松数天,一个月后肝功能血沉恢复正常。自10月下旬又
Patient summary: male, 56 years old, hospital number 38546. Jaundice after fever with edema for 2 months, in December 23, 1974 admission. Patients in early July that year had stomach poor appetite, fatigue, abdominal discomfort, no significant fever. A week later, there was yellow urine and skin yellowing, jaundice index up to 30 units, alanine aminotransferase 160 units, thyme phenol turbidity and flocculent test was normal, urine bilirubin positive ESR 46 mm / 1 hour, the total number of white blood cells 4,850, 8% acidic cells, the diagnosis of “acute jaundice hepatitis.” The liver treatment and a small amount of dexamethasone for several days, one month after the recovery of liver function erythrocyte sedimentation rate. Since late October again