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急性乙型病毒性肝炎(简称急乙肝)并发急性白血病临床报道较少,我院收治一例报告如下:病历摘要男,27岁,因纳差,厌油,四肢无力,尿黄一周于1985年6月首次入院.诊断:急乙院.经护肝、中药等综合治疗45天,症状好转出肝,复查三次 SGPT 波动在60~80u.因高烧、鼻衄、乏力一周于1986年9月再次入院.体检:体温39℃,轻度贫血貌,巩膜无黄染,双颌下淋巴结肿大,胸骨叩痛(+),心肺(-),肝肋下3cm,质中等硬,脾肋下2cm,双下肢有散在紫瘢.实验室检查:Hb90g/L,WBC3.4×10~(?)/L,分类:N0.38,L0.32,原单0.05,幼单核细胞0.25,HPC3.1×10~(?)/L.SGPT172u,II6u,HBsAg、BBeAg、抗 HBc 均(+)、抗 HBe,抗 HBs 均
Acute hepatitis B (acute hepatitis B) complicated with acute leukemia clinical reports, admitted to our hospital a case report as follows: Medical summary Male, 27 years old, due to anorexia, tired of oil, limb weakness, urine yellow week in 1985 6 Month for the first time admitted to hospital.Diagnosis: acute hospital.Human liver, traditional Chinese medicine and other comprehensive treatment for 45 days, the liver symptoms improved, three SGPT fluctuations in the 60 ~ 80u.Cause of high fever, epistaxis, fatigue week in September 1986 re-admission Physical examination: Body temperature 39 ℃, mild anemia, scleral no yellow dye, double submandibular lymph nodes, sternal percussion pain (+), cardiopulmonary (-), liver ribs 3cm, Laboratory examination: Hb90g / L, WBC3.4 × 10 ~ (?) / L, classification: N0.38, L0.32, the original single 0.05, mononuclear cells 0.25, HPC3.1 × 10 ~ (?) / L.SGPT172u, II6u, HBsAg, BBeAg, anti-HBc (+), anti-HBe, anti-HBs