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张某,男性,28岁,云南昆明市人,汽车驾驶员。于1983年8月9日因畏寒发热10天,巩膜及皮肤黄染5天入院治疗。患者从1980年2月份起有肝炎病史。于1983年 7月30日出差从思茅(高疟区)返回途中突然畏寒、发热,体温高达39.5℃,伴头昏、头痛,全身乏力、出汗多,热退后临床症状缓解。尔后每天下午或晚上均有类似发作。在此期间曾两次作血片检查疟原虫为阴性。给予青霉素、氯霉素及对症治疗无效。于8月4日出现腹胀、厌油、纳差、尿黄如浓茶,巩膜及皮肤轻度黄染。8月8日到某医院就诊查肝功能及肥达氏反应,结果为总胆红质3mg/dl,凡登白试验直接阴性、间接(?),脑磷酯絮状试验(?),麝香草酚浊度试验7.5u,硫酸锌浊试验10u,血清谷丙转氨酶(SGPT)40u(正常值为40u 以下),白蛋
Zhang, male, 28 years old, Kunming, Yunnan, car driver. On August 9, 1983 due to chills and fever for 10 days, sclera and skin yellow dye 5 days admission treatment. The patient had a history of hepatitis from February 1980. On July 30, 1983 business trip from Simao (high malaria area) on the way back suddenly chills, fever, body temperature as high as 39.5 ℃, with dizziness, headache, generalized weakness, sweating, clinical symptoms relieve heat back. After a day or afternoon every day a similar attack. During this period, two blood tests were performed to test for negative plasmodium. Give penicillin, chloramphenicol and symptomatic treatment is invalid. Appear on August 4 bloating, tired of oil, anorexia, urine yellow such as strong tea, sclera and skin mild yellow dye. August 8 to a hospital for treatment of liver function and Widal response, the result was total bilirubin 3mg / dl, Vandenbai test direct negative, indirect (?), Brain phospholipid flocculus test (?), Musk Phenoluric acid turbidity test 7.5u, zinc sulfate test 10u, serum alanine aminotransferase (SGPT) 40u (normal value of 40u or less), white eggs