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1例44岁男性患者,因腿疼服用土三七,约30 g/d代茶饮,共服用8周,总量约为1680 g。用药后患者出现腹胀、乏力、纳差、尿黄,皮肤、巩膜黄染,腹水。肝功能检查:ALT388.9 U/L,AST394.3 U/L,TBil 86.8μmol/L,PTA37.8%。检查示腹腔感染。胃镜示食管、胃底静脉曲张。CT表现符合肝小静脉闭塞症。给予抗感染及对症治疗,肝功能无好转,腹腔感染未控制,腹水未消退,患者自动出院。
A 44-year-old male patient was given a caffeine (about 30 g / d) tea for leg pain for eight weeks for a total of about 1680 g. Patients with abdominal distension, fatigue, anorexia, urine yellow, skin, scleral yellow dye, ascites. Liver function tests: ALT388.9 U / L, AST394.3 U / L, TBil86.8μmol / L, PTA37.8%. Check showed abdominal infection. Gastroscopy showed esophageal varices. CT performance consistent with hepatic vein occlusive disease. Given anti-infective and symptomatic treatment, liver function did not improve, abdominal infection was not controlled, ascites did not subside, patients were discharged automatically.