患者黄××,女性,23岁。1986年2月26日入院。患者15岁时因升学体检,首次发现巩膜轻度黄染,当时在罗甸县医院查肝功能正常,无发热、腹痛、腹胀,胃纳佳,能胜任学习、生活如常。此后患者经常照镜观察巩膜黄染时浅时深,尿色亦随黄疸的深浅而变化,曾多次查肝功能正常。四年前,巩膜皮肤黄染加深,但无症状,肝功能仍属正常。入院前二天,因查肝功能报告黄疸指数40单位,以“黄疸原因”收入院,平素健康。其兄亦有类似黄染史。体检:体温36℃,脉搏84次/分,呼吸18次/分,血压120/80mmHg。皮肤粘膜微黄,未见出血点、肝掌、蜘蛛痣。巩膜明显黄染。浅表淋巴结不大。颈软。心肺正常。腹平 Patient Huang × ×, female, 23 years old. February 26, 1986 admission. At the age of 15, the patient was found to have slight yellowish stain on the sclera for the first time when he was 15 years old. He was diagnosed normal liver function in Luodian County Hospital without fever, abdominal pain, abdominal distension and good appetite. Since then, patients often observe the sclera when the yellowish scleral shallow depth of dark urine also changes with the depth of jaundice, has repeatedly check the liver function is normal. Four years ago, scleral skin yellow dye deepened, but asymptomatic, liver function is still normal. Two days before admission, due to check the liver function report jaundice index 40 units, “jaundice” income hospital, usually healthy. His brother also has a history of similar yellow dye. Physical examination: body temperature 36 ℃, pulse 84 beats / min, breathing 18 beats / min, blood pressure 120 / 80mmHg. Skin mucosa yellowish, no bleeding point, liver palms, spider nevus. Sclera obvious yellow dye. Superficial lymph nodes are not. Neck soft. Cardiopulmonary normal. Flat belly