1病例报告患者女,45岁。因上腹不适、食欲缺乏、尿黄、巩膜黄染3天就诊。体检:皮肤及巩膜中度黄染,心肺未见异常,腹部平软,移动性浊音阴性,肝、脾、胆囊未触及,肝区叩痛阴性,双下肢无水肿。血常规检查无异常,未发现异型淋巴细胞;尿常规检查:酮体15mg/L,尿胆原170mg/L,胆红素170mg/L;血生化 1 case report patient female, 45 years old. Due to abdominal discomfort, lack of appetite, urine yellow, scleral yellow dye treatment for 3 days. Physical examination: The skin and sclera moderate yellow dye, no abnormal heart and lung, abdominal soft, mobility dullness negative, liver, spleen, gallbladder not touched, liver area knocking negative, no lower extremity edema. No abnormal blood tests, no abnormal lymphocytes were found; Urine routine examination: ketone body 15mg / L, urobilinogen 170mg / L, bilirubin 170mg / L; blood biochemistry