论文部分内容阅读
例1:男21岁,1个月前起乏力、食减,黄疸,SGPT 240u、ZnTT 8u,诊为急性黄疸肝炎,在当地医院住院治疗,因黄疸不退于1985年5月29日转入我院。既往无肝胆疾病史,未有血制品、损肝药物及氯霉素等使用史。体检:T 36.5℃,急性病容,粘膜、皮肤明显黄染,未见蜘蛛痣、肝掌,腹平软,肝肋下3cm,质充实,有压痛,脾(一)。实验室检查:血红蛋白100g/L,白细胞8.8×10~9/L,血小板100×10~9/L,网织红细胞1%;尿检蛋白(+),胆红素阳性。ZnTT 6.5u、SGPT>200u,血清总胆红素188.7μmol/L,1分钟胆红素34.2
Example 1: Male 21 years old, 1 month ago, fatigue, diet, jaundice, SGPT 240u, ZnTT 8u, diagnosed with acute jaundice hepatitis, hospitalized in a local hospital, due to jaundice on May 29, 1985 transferred Our hospital. Past history of liver and gall disease, no blood products, liver damage drugs and chloramphenicol and other use history. Physical examination: T 36.5 ℃, acute disease, mucosa, skin yellowing obvious, no spider nevus, liver palms, abdominal soft, liver ribs 3cm, substantiating, tenderness, spleen (a). Laboratory tests: hemoglobin 100g / L, white blood cells 8.8 × 10 ~ 9 / L, platelets 100 × 10 ~ 9 / L, reticulocyte 1%; urine protein (+), bilirubin-positive. ZnTT 6.5u, SGPT> 200u, serum total bilirubin 188.7μmol / L, 1 minute bilirubin 34.2