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本文报告1例原发性肝细胞癌(PHC)患者,其最初的肝损害似是输血后急性非甲非乙型肝炎(NANB)。患者为59岁家庭妇女,1981年9月因恶心呕吐、发热和黄疸日益加深4周而住院。1964年患者因子宫内膜腺癌作根除术时输了6单位全血。手术前1年肝功能正常,手术后13天除 AKP10.7鲍氏单位(BU)/1外,所有肝功能试验也正常。于输头2单位全血后34天,患者发生不适,厌食和尿色深。2周后因进行性黄疸住院。入院时肝功能试验显示总胆红素(TB)13.2mg/dl,丙氨酸转氨酶(ALT)1,480U/ml,天冬氨酸转氨酶
This article reports one patient with primary hepatocellular carcinoma (PHC) whose initial liver damage appears to be transfusion-free acute non-A non-B hepatitis (NANB). The patient, a 59-year-old housewife, was hospitalized in September 1981 for nausea and vomiting, fever and jaundice, deepening for four weeks. In 1964 patients with endometrial adenocarcinoma for radical surgery lost 6 units of whole blood. Liver function was normal at 1 year before surgery, and all liver function tests were normal except AKP10.7 (BU) / 1 at 13 days after surgery. 34 days after transfusion unit 2 whole blood, the patient developed discomfort, anorexia and dark urine. Two weeks later hospitalized for progressive jaundice. Liver function tests at admission showed total bilirubin (TB) 13.2 mg / dl, alanine aminotransferase (ALT) 1,480 U / ml, aspartate aminotransferase