患者、男、4岁。因发热,恶心,腹胀全身黄染在某院以“急性黄疸型肝炎”诊疗两周,病情恶化,神志恍惚、浮肿转来我院。既往无肝炎接触及输血史。入院查体 T37.2℃。精神萎糜,巩膜及全身皮肤明显黄染,无出血斑点,浅表淋巴结末触及,肺肝界在右胸第五肋间 Patient, male, 4 years old. Due to fever, nausea, abdominal distension, body yellow dye in a hospital with “acute jaundice hepatitis” diagnosis and treatment for two weeks, the condition deteriorated, trance, edema transferred to our hospital. No past history of hepatitis and blood transfusion. Admission examination T37.2 ℃. Spirit wilt Mi, sclera and body skin was yellow, no bleeding spots, superficial lymph nodes at the end of contact, lung and liver in the right chest between the fifth intercostal space