女,37岁。因左下冠周炎,服灭滴灵0.2g,一日三次。3天后家人发现其眼睛发黄,纳可,无恶心、呕吐等胃肠道症状。门诊体检:精神可,略胖、巩膜黄染,全身皮肤微黄,心肺(一)。腹软,肝上界为右第五肋间,肋下来触及,莫菲氐征(一),脾肋下未触及,既往体健,无类似黄疽史。胆红素(±),尿胆原(+)。总胆红素 Female, 37 years old. Due to the lower left coronary inflammation, serving metronidazole 0.2g, three times a day. 3 days later, the family found its eyes yellow, satisfied, no nausea, vomiting and other gastrointestinal symptoms. Outpatient examination: mental, slightly fat, scleral yellow dye, yellowish body skin, heart and lung (a). Abdominal soft, the upper boundary of the liver is the right fifth intercostal, rib down touch, Murphy emblem (a), spleen ribs did not touch, previous physical health, no history of similar jaundice. Bilirubin (±), urinary gallbladder (+). Total bilirubin