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患者,男,52a,乙型肝炎表面抗原阳性4a。因“反复上腹饱胀伴尿黄10d”于1991年12月26日入院。化验:ALT>200IU;r-球蛋白22.6%;白球蛋白比例0.88∶1;凝血酮原时间14.5s。诊断为“慢性活动性病毒性肝炎”。给予口服益肝灵、阿卡明、维生素B、C 等,静滴10%GS 500ml+强力宁(江苏启东制药厂,批号911113)40ml,1次/d,d10起牙龈出血,量少而持续。出院后停用强力宁,其他口服药继续使用,d4出血停止。6mo 后,因病情反复再次住院,除上述口服药外,静滴10%GS 500ml+强力宁(江苏启东制药厂,批号920107)80ml,1次/d,约1wk 时又出现牙龈出血,持续到停药后 d5停止。血小板计数入院时50×10~9/L,1wk 时升至90×10~9/L,2wk 时达102×10~9/L。以后又赴上海及本院门诊,二次应用
Patient, male, 52a, positive for hepatitis B surface antigen 4a. Because of “repeated abdominal fullness with urinary yellow 10d” on December 26, 1991 admission. Assay: ALT> 200IU; r-globulin 22.6%; white globulin ratio 0.88:1; prothrombin time 14.5s. Diagnosed as “chronic active viral hepatitis.” Give oral Yigan, Akamine, vitamin B, C, intravenous infusion of 10% GS 500ml + Qiang Ning (Jiangsu Qidong Pharmaceutical Factory, batch number 911113) 40ml, 1 time / d, d10 bleeding gums, the amount of small and continued. Turn off strong Ning after discharge, other oral medication continue to use, d4 bleeding stopped. After 6 months, hospitalized again due to illness again, in addition to the above oral medication, intravenous infusion of 10% GS 500ml + strong Ning (Jiangsu Qidong Pharmaceutical Factory, batch number 920107) 80ml, 1 times / d, about 1wk bleeding gums again, D5 stop after medicine. Platelet count admission 50 × 10 ~ 9 / L, 1wk rose to 90 × 10 ~ 9 / L, 2wk reached 102 × 10 ~ 9 / L. Later went to Shanghai and our clinic, the second application