病历摘要 患者 男性,57岁,住院号169235。1980年5月24日入院。主诉胃纳减退、腹胀、黄疸一个月;尿少、神志不清一周。既往健康、入院前50天因“感冒”服扑热息痛几片,半月后巩膜发黄,胃纳明显下降,厌油腻、腹胀、尿色深黄、黄疸日渐加重、粪由陶土色变为黄色。外院检查肝、脾肋下二横指、胆囊肿大、腹部有移动性浊音、血红蛋白8.5g/dl、白细胞5000/cu.mm、中性66％、血小 Patient summary Male patient, 57 years old, hospital number 169235 Admitted to hospital on May 24, 1980. The main complaint of appetite loss, bloating, jaundice a month; oliguria, confusion week. Past health 50 days before admission due to the “cold” paracetamol tablets, half a month after the sclera yellow, appetite decreased significantly, tired greasy, abdominal distension, urine dark yellow, jaundice increased, excrement from clay color to yellow. Outside the hospital to check the liver and spleen ribs two horizontal fingers, gallbladder enlargement, abdominal dullness, hemoglobin 8.5g / dl, white blood cells 5000 / cu.mm, 66% neutral, blood