病例摘要患者董某,男、12岁、学生,于1984年11月24日入院。患儿发病二月余,初起觉食欲不振、恶心、厌油、乏力,同时伴尿深黄,一直坚持上学,未引起家长注意。病后月余出现黄染,才到当地医院治疗,效果不著,二十天前回老家山东求医,因路途劳累,到达后患儿出现躁动不安,神志不清,经医院抢救治疗(具体用药不详)神志转清醒,但仍感精神疲惫、食欲欠佳、黄疸不退,于昨天出山东返回,今日上午十点患儿再次出现躁动,后昏迷急来院求治。此间曾有4次因恶心、呕吐而诱发鼻衄,近二天有咳嗽但不发热。患儿以往身体健康,家中无肝炎病人,亦无肝 Case Summary Patient Dong, male, 12 years old, student, was admitted to hospital on November 24, 1984. More than two months of onset of children, initially felt loss of appetite, nausea, tired of oil, fatigue, accompanied by dark urine, has always insisted on school, did not cause parents to pay attention. After more than a month after the onset of yellow dye, before going to the local hospital for treatment, the effect is not, twenty days back to his hometown in Shandong for medical treatment, due to fatigue on arrival, after arrival in children with restlessness, confusion, the hospital for rescue treatment (specific medication Unknown) consciousness to awake, but still feeling tired, poor appetite, jaundice, returned yesterday in Shandong, 10 am today again with agitation in children, coma rush to the hospital for treatment. There have been 4 times because of nausea, vomiting induced epistaxis, coughing the past two days but not fever. In the past, children with good health, no hepatitis at home, no liver