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收治1例慢性活动型肝炎无肝功能衰竭而出现意识障碍的少见病例,特报告于后:患者女性,24岁。因乏力、纳差、头昏10天,意识障碍2天,皮肤黄染1天于1990年12月4日11时入院。入院10天感头昏、全身不适、纳差明显,服用甲药无缓解。入院前2天头晕,不认识亲人,嗜睡,手足躁动。入院当时患者呈浅昏迷状态,呼之不应,黄疸加深,急会诊以“急性重型肝炎,肝性脑病Ⅲ度”收住入院。查体:T36．2℃,Bpl3/8kPa,神志不清,呻吟,皮肤巩膜轻度黄染,注射部位小块淤斑。肝脾肋下未扪及。肝浊音区在右锁骨中线第5~
A rare case of unconsciousness was found in 1 case of chronic active hepatitis without liver failure, especially after report: Female patient, 24 years old. Due to fatigue, anorexia, dizziness 10 days, disturbance of consciousness 2 days, yellow skin 1 day at 4:00 on December 4, 1990 was admitted. Admitted to 10 days feeling dizzy, general malaise, anorexia obvious, taking a drug without relief. Dizziness 2 days before admission, do not know their loved ones, lethargy, hand and foot restlessness. At admission was shallow coma patient status, call should not, jaundice deepened, emergency consultation with “acute severe hepatitis, hepatic encephalopathy Ⅲ degree” admitted to hospital. Physical examination: T36.2 ℃, Bpl3 / 8kPa, unconsciousness, moaning, mild scleral skin yellow dye, injection sites small ecchymosis. Liver and spleen ribs palpable. Liver dull area in the right clavicle midline 5 ~