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病历摘要 王某,男,32岁。因黄疸,呕吐二月余,咯血6天,于1981年6月30日入院。 患者于1981年5月开始乏力、纳差、恶、呕吐、尿色深黄,并曾出现陶土样大便及轻度皮肤搔痒。6月11日在某医院检查:皮肤及巩膜深度黄染,肝肋下2cm轻度叩痛。黄疸指数80u,谷丙转氨酶161u,在该院病情日益加重,但肝缩到肋下0.5cm,6月24日出现咯血,大便隐血阳性,眼底出血,X线胸片“两侧肺野有散在浸润阴影”。于6月30日
Medical summary Wang, male, 32 years old. Due to jaundice, vomiting in February, hemoptysis for 6 days, in June 30, 1981 admission. Patients began to weak in May 1981, anorexia, evil, vomiting, urine dark yellow, and had clay-like stool and mild skin itching. June 11 in a hospital examination: the depth of the skin and sclera yellow dye, liver ribs 2cm mild percussion pain. Jaundice index 80u, alanine aminotransferase 161u, the condition is getting worse in the hospital, but the liver shrinks to the ribs 0.5cm, June 24, hemoptysis, occult occult blood, retinal hemorrhage, chest X-ray “lung field scattered on both sides Infiltration shadow. ” On June 30