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男,30a,因“反复上腹饱胀伴尿黄10mo”入院。查体:巩膜黄染。心肺(-)。腹平软,无压痛,肝肋下2cm,质中,无触痛,肝区叩击痛(+),脾肋下未及。化验肝功能总胆红质(TSB)37.6μmol/L,谷丙转氨酶(ALT)310IU;表面抗原(HBs Ag)、e 抗原(HBe Ag)及核心抗体(抗-HBc)阳性。诊断为“慢活肝”给予强力宁、门冬氨酸钾镁、益肝灵等综合治疗,病情好转,约1mo时复查肝功能 ALT 47IU,余均正常。加用
Male, 30a, due to “repeated upper abdomen with urinary yellow 10mo” admission. Physical examination: scleral yellow dye. Cardiopulmonary (-). Abdomen soft, no tenderness, liver ribs 2cm, quality, no tenderness, liver percussion pain (+), spleen and ribs did not. 37.6 μmol / L of total bilirubin (TSB), 310 IU of ALT, HBsAg, HBeAg and anti-HBc were detected by ELISA. Diagnosis of “slow living liver” given strong Ning, potassium magnesium aspartate, Yigan and other comprehensive treatment, the condition improved, about 1mo review of liver function ALT 47IU, the remaining were normal. Plus use