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31岁女性患者,因乏力纳差7月,双下肢水肿1月于1998年10月9日第1次入院。既往史无特殊。月经史14(4～6)/(40～50),LMP 1998年7月20日。1995年12月顺产一女婴,无大出血;产后无诱因无乳,40天月经恢复;1997年9月吸宫式人工流产1次,无大出血;后渐阴毛腋毛稀少,性欲降低。查体:皮肤干糙,色素较深,甲状腺Ⅰ°肿大,质软无结节压痛,心肺无异常,腹软,肝脾未及,移浊(+),双下肢Ⅰ°水肿。实验室检查:小便PRO(++),肝功ALB 27g/L,GLB 41g/L,ALT63IU/L,AST 85IU/L,抗 HBs(+),抗 HCV
31-year-old female patient, due to fatigue, poor appetite July, edema of both lower extremities in January on the first hospital on October 9, 1998 admission. No previous history. Menstrual history of 14 (4 ~ 6) / (40 ~ 50), LMP July 20, 1998. 1995 December a baby girl abortion, no bleeding; postpartum motivation-free milk, 40 days menstruation recovery; 1997 1997 abortion-induced abortion 1, no bleeding; after gradual pubic hair armpit sparse, sexual desire to reduce. Examination: dry skin, darker pigment, thyroid Ⅰ ° enlargement, soft non-nodular tenderness, no abnormal heart and lung, abdominal soft, liver and spleen not, move turbid (+), lower extremity Ⅰ ° edema. Laboratory tests: urinary PRO (++), hepatic ALB 27 g / L, GLB 41 g / L, ALT 63 IU / L, AST 85 IU / L, anti-HBs