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患者蔡××,女,25民,农民,1980年8月7日因发热16天,皮肤、巩膜黄染8天,昏迷2天入院。患者于入院前16天开始发热,腹胀,食欲不振。热型不规则,体温波动在38—39.5℃。曾在当地医院不规则地使用过氯霉素,体温仍波动在38℃左右,8天后发现巩膜黄染,又按“肝炎”处理。入院前两天黄疸加深,腹胀加重,但无腹痛,烦躁不安,继之昏迷,遂以“肝昏迷”转我院。以往无“肝炎”、“胆囊炎”、“黄胆”史,亦无饮酒和输血制品史。
Patient Cai × ×, female, 25 people, peasants, August 7, 1980 due to fever 16 days, skin, scleral yellow dye 8 days, coma 2 days admitted. 16 days before admission to patients with fever, bloating, loss of appetite. Irregular heat, body temperature fluctuations in the 38-39.5 ℃. Chloramphenicol was irregularly used in the local hospital. The body temperature still fluctuated around 38 ℃. After 8 days, scleral yellow dye was found and treated according to “hepatitis”. Jaundice deepened two days before admission, increased abdominal distension, but no abdominal pain, irritability, followed by coma, then “hepatic coma” to our hospital. In the past no “hepatitis”, “cholecystitis”, “jaundice” history, nor the history of alcohol and blood transfusion products.