论文部分内容阅读
患者,男,62岁,主因体检发现肝功能异常1年,腹胀伴纳差1个月入院。门诊以慢性丙型肝炎收住院。入院时查体:患者精神较好,饮食欠佳,皮肤、巩膜无黄染,双下肢无水肿。T36.3℃,P 76次/min,R 18次/min,BP 130/72 mmHg。无药物、食物过敏史。肝功能检查:ALT 63.4 U/L,总胆红素16.6μmoL/L,AST 106 U/L,入院诊断:慢性病毒性丙型肝炎。入院后遵医嘱静脉输入保肝、降酶、活血化瘀等药物治疗,多烯磷脂酰胆碱注射液(生产厂家:成都天台山制药有限公司)930 mg+5%葡萄糖注射液250 ml静脉滴注,每天1次;注射用复方二氯醋酸二异丙胺80 mg(以二氯醋酸二异丙胺计)+
Patients, male, 62 years old, mainly due to physical examination found abnormal liver function 1 year, abdominal distension with anorexia 1 month admission. Outpatient hospital with chronic hepatitis C admitted. Physical examination on admission: patients with better spirit, poor diet, skin, sclera no yellow dye, no lower extremity edema. T 36.3 ° C, P 76 breaths / min, R 18 breaths / min, BP 130/72 mm Hg. No drug, food allergy history. Liver function tests: ALT 63.4 U / L, total bilirubin 16.6μmoL / L, AST 106 U / L, admission diagnosis: chronic viral hepatitis C. After admission, he / she should be instructed intravenously to enter the liver and reduce the enzyme, blood circulation and other drug treatment, polyene phosphatidylcholine injection (manufacturer: Chengdu Tiantai Mountain Pharmaceutical Co., Ltd.) 930 mg + 5% glucose injection 250 ml intravenous infusion Note, once daily; injection of compound dichloroacetic acid diisopropylamine 80 mg (to dichloroacetic acid diisopropylamine dollars) +