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例 1,男,67岁,于1985年4月因乏力、纳差入院。入院前1个月,始有乏力,稍感恶心,后因尿黄,SGPT 84U,诊断为乙型病毒性肝炎入院。 体检,表浅淋巴结不肿大,巩膜无黄染,心、肺(一),上腹轻压痛,无肌卫,肝上界第6肋间,肋下1.5cm,质中,无结节,压痛不明显,脾未触及,化验:SB0.3mg/dl,SGPT 84U,HBsAb(一),HBsAg(+),抗-HBe(+),HBeAg(+),抗HBC(-)。住院30天,上腹部疼痛难忍,AFP>500ng/ml。60天后出现黄疸,SB 4mg/dl,γ-GT344U/ml,B超为:1.肝硬化,弥
Example 1, male, 67 years old, admitted to hospital in April 1985 due to fatigue and anorexia. One month before admission, she developed fatigue and was slightly disgusted. He was diagnosed as having hepatitis B due to urine yellow, SGPT 84U. Physical examination, superficial lymph nodes are not swollen, sclera is not yellow stained, heart, lung (a), epigastric tenderness, no muscle health, liver 6th intercostal space, 1.5cm under the ribs, quality, no nodules, The tenderness was not obvious and the spleen was not touched. Laboratory tests: SB 0.3mg/dl, SGPT 84U, HBsAb (a), HBsAg (+), anti-HBe (+), HBeAg (+), anti-HBC (-). 30 days of hospitalization, upper abdominal pain was unbearable, AFP> 500ng/ml. After 60 days, there was jaundice, SB 4mg/dl, γ-GT344U/ml, B-ultrasound: 1. Liver cirrhosis, Mi