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宋某,男,14岁.尿黄、巩膜及皮肤黄染20天,肢瘫、声嘶、吞咽困难7天,于1995年10月16日入院.查体:被动体位,检查尚合作,巩膜及皮肤轻度黄染.肝右肋下2厘米,质软、光滑、有触痛.两侧鼻唇沟变浅,软腭上提无力,咽反射迟钝,构音困难,饮水呛咳.四肢腱反射(-),病理征未引出.上肢肌力Ⅱ度,下肢Ⅰ度.四肢感觉正常.WBC12.5×10~(?)/L,N0.79,L0.21.肝功能:麝浊12u,麝絮(+),SGPT108u(Reitaman法),HBsAg(+).尿三胆(+).脑脊液:Pandy′s试验(++),蛋白0.8g/L,其余均正
Song, male, 14 years old. Urine yellow, sclera and skin yellow dye 20 days, limb paralysis, hoarseness, difficulty swallowing 7 days, admitted to hospital on October 16, 1995. Physical examination: passive body position, examination is still cooperation, sclera And the skin is slightly yellowish yellow liver right ribs 2 cm, soft, smooth, tenderness on both sides of the nasolabial fold shallow, soft palate on the weak, pharyngeal reflex, dysarthria, choking water limbs tendon Reflex (-), the pathological sign did not lead to upper limb muscle strength Ⅱ degree, lower extremity Ⅰ degree limbs feel normal .WBC12.5 × 10 ~ (?) / L, N0.79, L0.21. Liver function: (+), SGPT108u (Reitaman method), HBsAg (+), urinary TB (+) CSF: Pandy’s test (++), protein 0.8g / L,