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患者 女,22岁,因乏力、纳差、尿黄24天,发热、酱油色尿、头晕病重3天于1994年3月15日入院。3天前住当地卫生院按“黄疸型肝炎”护肝、对症和支持处理,未用过影响血液系统的药物。既往无肝胆病和血液病史。体检:体温39℃,脉搏130次,呼吸25次,血压12/9kPa。神志尚清,嗜睡状态,对答尚切题。重度贫血貌,皮肤、巩膜重度黄染,无蜘蛛痣及肝掌。心肺无异常发现。腹平软,无腹水征,肝、脾均未扪及,肝区轻叩痛,胆区无殊。两侧肾区无叩压痛,神经系统未引出病理反射。实验室检查:外周血
Female, 22 years old, due to fatigue, anorexia, urinary yellow 24 days, fever, soy sauce, urine, dizziness, heavy 3 days in March 15, 1994 admission. 3 days ago to live in a local hospital according to “jaundice hepatitis” liver protection, symptomatic and supportive treatment, have not used drugs that affect the blood system. Past history of hepatobiliary disease and blood. Physical examination: body temperature 39 ℃, pulse 130 times, breathing 25 times, blood pressure 12 / 9kPa. Conscious still clear, drowsiness, the answer is still cut. Severe anemia appearance, skin, sclera severe yellow dye, no spider nevus and liver palms. No abnormal heart and lung findings. Abdomen soft, no signs of ascites, liver, spleen were palpable, liver area tapping pain, gallbladder without special. No pain in both sides of the kidney area, the nervous system did not elicit pathological reflexes. Laboratory examination: peripheral blood