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病例介绍 患者,55岁,因患肺结核病十余年近来发热、咳嗽、盗汗加剧于1978年3月28日以两肺上部浸润型肺结核入院。即往无肝炎及输血史。入院时体温38.5℃,两肺上部呼吸音弱,肝脾未触及,痰浓缩查抗酸杆菌阳性。给予异烟肼0.3/日链霉素1.0/日,乙丁胺醇1.0/日,因仍有发热于4月10日停用链霉素改用利福平每日450克一次内服(服前查肝功能正常)。五天后热退。4月20日患者出现恶心,上腹部不适,腹胀,纳差,乏力,巩膜及皮肤逐渐黄染、搔痒。肝于肋缘下3Cm,
Case description Patients, 55 years old, suffering from tuberculosis for more than ten years recently fever, cough, night sweats intensified in March 28, 1978 with two pulmonary infiltrating pulmonary tuberculosis admission. That is, no history of hepatitis and blood transfusion. On admission, body temperature 38.5 ℃, upper respiratory sound weakness of both lungs, liver and spleen not touched sputum concentration check acid-fast bacilli positive. Given isoniazid 0.3 / day streptomycin 1.0 / day, etbuterol 1.0 / day, because there is still fever on April 10 to stop using streptomycin instead of rifampicin 450 g daily oral administration (before serving Check liver function is normal). Rebate after five days. April 20 patients with nausea, abdominal discomfort, abdominal distension, anorexia, fatigue, sclera and skin gradually yellow dye, itching. Liver under the Costa Rica 3Cm,