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血卟啉病系卟啉代谢异常引起的代谢性疾病,因其临床少见(尤其是急性间歇性肝性血卟啉病,下称AIP),故易误诊。我们收治2例,现举1例报告如下。 患者男,30岁。3年前,曾因中、上腹发作性紧缩样疼痛伴发热而住院。查体:T38℃,皮肤及巩膜轻度黄染,中上腹压痛而不固定。肝、胆、胰双肾B超检查无异常;肝功能示SGPT80U,疑诊为胆系感染。经给予抗炎对症处理半个月,症状好转出院。半年后,又因右下腹痛而疑诊急性阑尾炎住院,经保守治疗10天,腹痛消失出院。1年后因中
Hemoporphyrinosis Department of Metabolism Metabolic disorders caused by metabolic diseases, because of its clinical rare (especially acute intermittent hepatic hematoporphyrinosis, hereinafter referred to as AIP), it is easy to misdiagnosis. We admitted 2 cases, 1 case report is as follows. Male patient, 30 years old. 3 years ago, was due to middle and upper abdominal accent-type pain and fever with hospitalization. Physical examination: T38 ℃, mild yellowish skin and sclera, tenderness in the middle and not fixed. Liver, gallbladder, pancreas and kidney B ultrasound no abnormalities; liver function showed SGPT80U, suspected biliary tract infection. After given anti-inflammatory symptomatic treatment for half a month, the symptoms improved and discharged. Six months later, because of right lower abdominal pain and suspected acute appendicitis hospitalized, conservative treatment for 10 days, abdominal pain disappeared. 1 year after the due