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患者,女,27岁,已婚,因恶心、呕吐、纳差、尿黄55天,肝功能异常25天,于1978年7月15日入院。患者于停经后40天感恶心、呕吐,以晨为著,呕吐渐增至每日10余次,吐出胃内容物。呕吐后厌食明显,尿色加深。妊娠试验(+),按妊娠反应处理无效。停经后70天查肝功 SGPT670单位(正常<100单位),TTT 正常,胆红素1.8mg/dl,尿胆红素(+),尿酮体(+)。诊为妊娠剧吐;不除外肝炎。予中西药治疗后,呕吐次数一度稍减,但入院前一周又加重,以致完全不能进食。上腹隐痛,尿色加深。诊断急性黄疸型肝炎;12周孕,孕1产0。平素健康,否认肝炎接触史,无服用肝
Patient, female, 27 years old, married, nauseated, vomiting, anorexia, urinary yellow 55 days, abnormal liver function 25 days, was admitted on July 15, 1978. Patients 40 days after menopause, nausea, vomiting, as the morning, vomiting increased to more than 10 times a day, spit out the contents of the stomach. Anorexia after vomiting significantly, dark urine. Pregnancy test (+), according to pregnancy response is invalid. Post-menopause 70 days to check liver function SGPT670 units (normal <100 units), TTT normal, bilirubin 1.8mg / dl, urinary bilirubin (+), urinary ketone body (+). Diagnosis of hyperemesis gravidarum; no exception, hepatitis. To Chinese and Western medicine treatment, the number of vomiting once slightly reduced, but the week before admission aggravated, so completely unable to eat. Abdominal pain, dark urine deepened. Diagnosis of acute jaundice hepatitis; 12 weeks of pregnancy, pregnancy 1 production 0. Usually healthy, denied the history of exposure to hepatitis, without taking the liver