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1 病例报告 患者男,47岁,机关干部,因寒战发热、黄疸伴右上腹隐痛4天,于1998年3月25日收住乙肝病房。住院期间病情几次反复,每次均出现发热(T38℃以下),黄疸,伴右上腹隐痛不适,睡眠不安,大便时干时溏,2～2次/日。查体:皮肤巩膜轻度黄染,后背部有散在皮疹,未见肝掌和蜘蛛痣,心肺(一),腹软,全腹无压痛,肝上界在右锁骨中线第6肋间,下界在右肋下1.5cm,质软,肝区无叩击痛,脾左肋下未触及,腹水征(一),双下肢无浮肿。实验室检查:入院时肝功能:ALT233U/L,AST 325U/L,γ-GT 232U/L,TBil 48.8μmol/L。DBil
A case report Male, 47 years old, cadres, due to chills and fever, jaundice with right upper quadrant pain for 4 days, on March 25, 1998 admitted to hepatitis B ward. During the hospitalization several times repeatedly, each time there are fever (T38 ℃ below), jaundice, with right upper quadrant pain and discomfort, restless sleep, dry stool when stool, 2 to 2 times / day. Physical examination: skin scleral mild yellow dye, scattered back in the rash, no liver palms and spider nevus, cardiopulmonary (a), abdominal soft, no abdominal pain, the upper boundary of the liver in the right subclavian midline 6th intercostal space, the lower bound In the right rib 1.5cm, soft, non-percussive liver pain, spleen left rib did not touch, ascites (a), both lower extremities without edema. Laboratory tests: Liver function at admission: ALT233U / L, AST 325U / L, γ-GT 232U / L, TBil 48.8μmol / L. DBil