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女,20岁。于入院前4天自服二溴氯丙烷(DBCP)20ml,稍感头昏,心悸,在卫生院给予洗胃,输液等,观察3天,病情无特殊变化,第4天起恶心,呕吐咖啡色液体,烦躁,随即神志不清入院。体查:浅昏迷,皮肤巩膜中度黄染,瞳孔2.5mm,光反应迟钝,肺(-),心率88次,律齐,心音低钝,肝肋下1.0cm,腹水征(-)。实验室检查:血红蛋白104g/L,白细胞2.8×10_9/L,血小板100×10~9/L。尿蛋白(+),红细胞++++。大便隐血试验++++。肝功能:黄疸指数7Ou,VDB试验立即反应,SGPT20Ou(正常值<25u),A/G1.5:1。心
Female, 20 years old. 4 days prior to admission since service DBCP 20ml, slightly dizzy, palpitations, gastric lavage given in the hospital, infusion, etc., observed for 3 days, the condition no special changes, the first 4 days of nausea, vomiting brown Liquid, irritability, then unconsciously admitted to hospital. Physical examination: shallow coma, moderate scleral skin yellow, pupil 2.5mm, photoreactive, lung (-), heart rate 88, law Qi, heart sound low blunt, liver ribs 1.0cm, signs of ascites (-). Laboratory tests: hemoglobin 104g / L, white blood cells 2.8 × 10_9 / L, platelets 100 × 10 ~ 9 / L. Urinary protein (+), red blood cells ++++. Stool occult blood test ++++. Liver function: jaundice index 7Ou, VDB test immediately reaction, SGPT20Ou (normal <25u), A / G1.5: 1. heart