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患者,女,50岁,干部。于1984年7月16日因全身乏力加重10余天,巩膜黄染5~6天入院。患者于同年2月经市传染病医院诊为病毒性肝炎,住院三个月,好转出院。入院检查:体温正常,神志清楚,慢性病容。巩膜轻度黄染,浅表淋巴结不肿大,心肺无异常。肋缘下可触及肝边缘,质软、无压痛。脾未触及。化验:血红蛋白7.5克,红细胞223万,血小板16万。出凝血时间均为0.5分。白细胞8000,中性76%,淋巴24%。黄疸指数28单位,胆红质定量2.40mg%。麝香草酚浊度试验22单位。谷丙转氨酶25单位。血浆蛋白6.4克%。其中白蛋白2.1克%,球蛋白3.3克%。尿色深黄。尿胆元(+),尿胆素(+)。A型超声波提示:肝肋下0.5cm,剑突下4.0cm,星较密微小波。住院经过:护肝治疗。7月19日输血浆150毫
Patient, female, 50 years old, cadre. July 16, 1984 due to generalized weakness worsened more than 10 days, scleral yellow dye admitted to hospital for 5 to 6 days. Patients in February the same year by the city infectious disease hospital diagnosed with viral hepatitis, hospitalized for three months, improved discharged. Admission examination: normal body temperature, conscious, chronic disease. Scleral mild yellow dye, superficial lymph nodes is not enlarged, no abnormal heart and lung. Rib margins can reach the edge of the liver, soft, no tenderness. Spleen not touched. Laboratory tests: Hemoglobin 7.5 grams, 2230000 erythrocytes, 160000 platelets. Out of coagulation time are 0.5 points. White blood cells 8000, 76% neutral, lymph 24%. Jaundice index 28 units, 2.40mg% of bilirubin. Thymol Turbidity Test 22 units. Alanine aminotransferase 25 units. Plasma protein 6.4 g%. Among them, 2.1g% albumin and 3.3g% globulin. Dark yellow urine. Urobilinogen (+), urobilinogen (+). A-type ultrasound Tip: Liver ribs 0.5cm, xiphoid 4.0cm, the stars more dense micro-wave. After hospitalization: Liver treatment. July 19 plasma 150 ml