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患者,女性,39岁。84年12月27日起感畏寒、不适、尿黄,食欲减退、厌油。1月7日出现巩膜及皮肤发黄而收住院。检查:体温37.4℃,巩膜、皮肤、粘膜均黄染,肝于右锁骨中线肋缘下2cm,质软、边钝、触痛(+),莫菲氏征(-),脾未触及。Ⅱ60u,血胆红素7mg％,GPT225u,血HAAb,—IgM(+),HBsAg(+),HBcAb>100。13日上午,神志恍惚,回答问题缓慢而不确切,有轻度“扑翼样震颤”。当晚7时嗜睡,项强,颏胸距离三横
Patient, female, 39 years old. December 27, 84 from a sense of chills, discomfort, urine yellow, loss of appetite, tired of oil. January 7 appeared sclera and skin yellow and admitted to hospital. Check: body temperature 37.4 ℃, sclera, skin, mucosa are yellow dye, liver in the right clavicular midline rib margin 2cm, soft, blunt, tenderness (+), Murphy’s sign (-), spleen not touched. Ⅱ60u, blood bilirubin 7mg%, GPT225u, blood HAAb, -IgM (+), HBsAg (+), HBcAb> 100. 13 morning, unconscious, answering questions slowly and not exactly, with mild “flapping wing Tremor. ” 7 o’clock that night lethargy, Xiangqiang, chin chest distance three horizontal