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患儿陈××,女,5个月,住院号:3238。患孩以黄染七天,发热呕吐2天于1985年10月2日收入本院儿科住院。入院后,因嗜睡,皮肤巩膜黄染不退,眼球上翻,颈及四肢痉硬而于10月5日疑为“急性黄疽型肝炎”收入传染科治疗。T36.5℃,P120次,R48次,神清,精神萎靡,呼吸平,皮肤巩膜明显黄染,囱门不饱满,颈有抵抗,心肺(-)腹软,肝肋下4厘米,硬度中等,脾肋下可触及。实验室检查:红细胞360万,血红蛋白10.5克;谷丙转氨酶28单位,黄疸指数90单位,胆红素17毫克%,凡登白试验间接阳性;网织红细胞2.0%;小便胆红素阴性,尿胆原阴性;B型超声显象示肝脾增大,肝切面内光点分布
Children Chen × ×, female, 5 months, hospital number: 3238. Children with yellow dye seven days, fever vomiting 2 days in October 2, 1985 income hospital pediatric hospitalization. After admission, due to drowsiness, skin sclera yellow dandruff, eye turned up, neck and limb spasm stiff on October 5 suspected “acute jaundice hepatitis” Department of Infectious Diseases treatment. T36.5 ℃, P120 times, R48 times, clear, apathetic, breathing flat, sclera obvious yellow dye, fianmen not full, neck resistance, cardiopulmonary (-) abdominal soft, liver ribs 4 cm, moderate hardness Spleen ribs can be touched. Laboratory tests: 3.6 million red blood cells, hemoglobin 10.5 grams; 28 units of alanine aminotransferase, jaundice index 90 units, bilirubin 17 mg%, where Deng Deng indirect test positive; reticulocyte 2.0%; urinary bilirubin negative urine Gallbladder negative; B-mode ultrasound showed enlarged liver and spleen, light distribution within the liver section