患者男,48岁。因纳减、皮肤巩膜黄染、肝功异常10d,于1985年1月7日入院。患者于住院前9d起无明显诱因发生食欲减退、恶心,呕吐、尿深黄,病后2天皮肤及巩膜黄染,粪色变淡。病程中无发热及腹痛。因肝功异常,以急性病毒性肝炎收住入院。病前无输血及药物注射史。既往健康,与肝炎病人无明显接触史。 体检 T36.7℃,P84/min,BP20/8kPa(150/60mmHg)。一些状况良好,营养中等,神清合作,全身皮肤黄染,无皮疹及出血点,浅表淋巴结无肿大,结膜呈桔黄色,颈软,心肺未见异常,腹 Male patient, 48 years old. Due to subsidence, skin scleral yellow dye, abnormal liver function 10d, on January 7, 1985 admission. Patients in the hospital 9d before no obvious incentive to cause loss of appetite, nausea, vomiting, dark urine, skin and sclera 2 days after the disease, fecal color fades. No fever and abdominal pain during the course of the disease. Due to abnormal liver function, admitted to hospital with acute viral hepatitis. No blood transfusion and drug injection history. Past health, no significant contact with hepatitis patients history. Physical examination T36.7 ℃, P84 / min, BP20 / 8kPa (150 / 60mmHg). Some good condition, moderate nutrition, clear cooperation, yellow skin, no rash and bleeding, superficial lymph nodes without swelling, conjunctiva was orange, soft neck, no abnormal heart and lungs, abdomen