论文部分内容阅读
根据病史、临床表现及化验,需考虑以下疾病: 1.传染性肝炎患者临床表现发热、黄疸、呕吐一周,伴乏力及食欲减退,因此首先要考虑传染性肝炎。但入院后体征特点是无肝大而有明显黄疸及脾大,这与一般传染性肝炎体征不符,虽部分肝炎病人肝脏可不大,但脾肋下3厘米,斜径4.5厘米,质又硬,这在肝炎是罕见的;其次有黄疸与SGPT分离现象,前者32单位,后者56单位,这在肝炎中也是少见的。一般肝炎患者SGPT高峰在黄疸高峰之前出现,消退也较黄疸为晚。重症肝炎肝昏迷时,由于肝
According to medical history, clinical manifestations and laboratory tests, the following diseases need to be considered: 1. Infectious hepatitis patients with clinical manifestations of fever, jaundice, vomiting a week, with fatigue and loss of appetite, so first of all to consider infectious hepatitis. However, signs of admission is characterized by large hepatolithiasis and obvious jaundice and splenomegaly, which is not consistent with the general signs of infectious hepatitis, although some patients with hepatitis liver is not large, but 3 cm spleen ribs, diagonal 4.5 cm, quality and hard, This is rare in hepatitis; followed by jaundice and SGPT separation, the former 32 units, the latter 56 units, which is rare in hepatitis. SGPT peak in patients with hepatitis before the peak of jaundice, regression is also later than jaundice. Severe hepatitis liver coma, due to the liver