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患者 女,27岁。近一月来无诱因感全身乏力,纳减,恶心,发热,体温波动在38～40℃之间,无鼻塞、流泪和咽痛等症状。随后出现黄疸并逐日加深,同时伴有肝功能异常,以急性黄疸型肝炎11月7日收入病房。入院体检:体温39.5℃,脉率120次,呼吸28次,血压16/10kPa。神志清,皮肤和巩膜深度黄染,胸部有皮下瘀斑及出血点,浅表淋巴结不肿大,未见肝掌及蜘蛛痣。心肺未查见异常。腹平软,无移动性浑浊音,肝肋下3.0cm,剑突下4.0cm,质中、轻压痛、表面
Female patient, 27 years old. Nearly a month to induce a sense of general malaise, reduce, nausea, fever, body temperature fluctuations between 38 ~ 40 ℃, no stuffy nose, tearing and sore throat and other symptoms. Subsequently jaundice and daily deepening, accompanied by abnormal liver function, acute jaundice hepatitis on November 7 income Ward. Admission medical examination: body temperature 39.5 ℃, pulse rate 120 times, breathing 28 times, blood pressure 16 / 10kPa. Consciousness, depth of the skin and sclera yellow dye, subcutaneous ecchymosis and bleeding in the chest, superficial lymph nodes are not swollen, no liver palms and spider nevus. Heart and lung did not check abnormalities. Abdomen soft, no movement of turbid tone, liver ribs 3.0cm, xiphoid 4.0cm, quality, mild tenderness, the surface