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患者,男,58岁。1999年12月初乏力、纳差、尿黄,ALT2000u/L,(肝功能BIL等其他项目不详),抗HEV(+),抗HBs(+),抗HBc(+),抗CMV-IgM(-)。当地医院护肝治疗一月。精神、饮食好转,但黄疸不退。遂按淤胆型肝炎于2000年1月初服用强的松40mg/日,治疗一月。2月1日复查TBIL/DBIL433/232umol/L,ALT206u/L,2月12日入我院。既往无肝病史。入院查体:体温36.4℃,肝掌阳性,未见蜘蛛痣,巩膜皮肤重度黄染,心肺正常,肝脾肋下未及,腹
Patient, male, 58 years old. Early December 1999, fatigue, anorexia, urinary yellow, ALT2000u / L, (other items of liver function BIL and other items are unknown), anti-HEV, anti HBs, anti HBc and CMV- ). Local hospital liver care January. Mental, diet improved, but not jaundice. Then according to cholestatic hepatitis in early January 2000 taking prednisone 40mg / day, treatment January. February 1 Review of TBIL / DBIL433 / 232umol / L, ALT206u / L, February 12 into our hospital. Past history without liver disease. Admission examination: body temperature 36.4 ℃, liver palpable, no spider nevus, scleral skin, severe yellow dye, normal heart and lungs, liver and spleen ribs and the abdomen, abdomen