1病例摘要女,55岁。因乙型肝炎于2005年10月20日来本院就诊。既往有明确的乙型肝炎病史多年,无家族遗传性疾病。此次发病以纳差、乏力、尿黄为主,病史时间1个月,病史中有轻度恶心、无呕吐,无发热、咳嗽,无腹痛、腹泻,体检:T 36℃,P80次/min,R20次/min,BP120/90mmHg。皮肤、巩膜无明显黄染,心肺未见异常,腹部平软,肝脾肋下未触及。门诊化验肝动能示:ALT167 u·L~(-1),AST 94 u·L~(-1)、TBil 25.5μmol·L~(-1)、乙肝标志物检测为:HbsAg、HbeAg、HBc-Ab阳性, 1 case summary Female, 55 years old. Hepatitis B came to our hospital on October 20, 2005. Past history has a clear history of hepatitis B for many years, no familial hereditary diseases. The incidence of anorexia, fatigue, urinary yellow, the history of time 1 month, history of mild nausea, no vomiting, no fever, cough, no abdominal pain, diarrhea, physical examination: T 36 ℃, P80 times / min , R20 times / min, BP120 / 90mmHg. Skin, sclera no obvious yellow dye, no abnormal heart and lung, abdominal soft, liver and spleen ribs did not touch. Outpatient laboratory hepatic motility showed ALT167 u · L -1, AST 94 u · L -1 and TBil 25.5 μmol·L -1, and the markers of hepatitis B were HbsAg, HbeAg and HBc- Ab positive,