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肝性血卟啉病是血卟啉病的一种,以急性间歇型为最常见。现将我们收治的3例介绍于下。例1,女,32岁。因腹痛两个多月加剧3天入院。患者发病后曾在当地卫生院按“胆道蛔虫”、“十二指肠球部溃疡”处理无效。体检:急性痛苦病容,辗转不安。心肺(一)。腹平软,压痛不定位,肝脾未触及。神经系统正常。血尿常规、肝肾功能正常,尿卟胆原(PBG)阳性。诊为肝性血卟啉病(急性间歇型),经静滴高渗葡萄糖、口服氯丙嗪等,腹痛缓解出院。例2,男,24岁。腹
Hepatic porphyria is a hematoporphyrin disease, the most common intermittent acute type. Now we receive 3 cases introduced in the next. Example 1, female, 32 years old. Because of abdominal pain more than two months to aggravate 3 days admission. After the onset of patients in the local hospitals by “biliary Ascaris”, “duodenal ulcer” ineffective treatment. Physical examination: acute pain and sickness, tumbled. Heart and lung (a). Abdomen soft, tenderness is not positioned, liver and spleen not touched. Nervous system is normal. Hematuria routine, normal liver and kidney function, urinary porphyrin (PBG) positive. Diagnosis of hepatic hematoporphyrinosis (acute intermittent type), intravenous infusion of hypertonic glucose, oral chlorpromazine, abdominal pain relief and discharge. Example 2, male, 24 years old. belly