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患者男性,21岁。于半个月前开始出现乏力、厌油、恶心、食欲减退,右上腹隐痛,经休息及对症治疗未好转。起病后曾呕吐2次,为胃内容物。皮肤、巩膜逐渐出现黄染,全身搔痒,尿黄如浓茶,无发热、腹泻及精神意识障碍。于1985年9月14日以“病毒性肝炎”收治入院。既往无肝炎史,否认起病前半年内有服药史,家族史中无特殊。 体检:T36.8℃,神清,全身皮肤黄染,未见出血斑点、肝掌及蜘蛛痣等。颌下扪及黄豆大小淋巴结1个,无触痛。巩膜黄染,胸骨无压痛,两
Patient male, 21 years old. Half a month ago began to appear fatigue, tired of oil, nausea, loss of appetite, pain in the right upper quadrant pain, after rest and symptomatic treatment did not improve. Vomiting after onset 2 times for the stomach contents. The skin, sclera gradually appear yellow dye, systemic itching, urine yellow such as strong tea, no fever, diarrhea and mental disorders. In September 14, 1985 to “viral hepatitis” admitted to hospital. No past history of hepatitis, denied the medication history within six months before onset, no special family history. Physical examination: T36.8 ℃, Shen Qing, body yellow skin dye, no bleeding spots, liver palms and spider nevus. Submaxillary palpable soybean size lymph nodes 1, no tenderness. Scleral yellow dye, no tenderness of the sternum, two