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例1男,26岁,因发热、乏力、黄疸1周,意识障碍1d,于1991年8月30日入院。患者入院前1周出现畏寒、发热、乏力、黄疸,食欲明显下降,外院诊断为急性黄疸型肝炎,经门诊治疗后体温下降,但其余症状无好转,并于入院前1d出现头痛、烦躁不安、意识障碍;既往身体健康,否认肝炎病史。查体:体温、脉搏、血压均正常。神志不清、烦躁不安,皮肤及巩膜黄染,双侧瞳孔等大正圆,对光反射灵敏。颈软。心肺正常。腹平软,肝肋下1.5cm,剑下3.0cm,质地柔软,缘锐,表面光滑,肝区叩击痛阳性;脾未触及;腹水征阴性。神经系统生理反射正常,病理反射双侧巴彬斯基氏征阳性,脑膜刺激征阴性,锥体束
Example 1 Male, 26 years old, due to fever, fatigue, jaundice 1 week, disturbance of consciousness 1d, admitted on August 30, 1991. One week before admission, patients had chills, fever, fatigue, jaundice and appetite. The outside hospital diagnosed acute jaundice hepatitis, the temperature dropped after the outpatient treatment, but the other symptoms did not improve. The patients had headache and irritability 1d before admission , Disturbance of consciousness; past physical health, to deny the history of hepatitis. Physical examination: body temperature, pulse, blood pressure are normal. Confusion, irritability, skin and sclera yellow dye, bilateral pupil Dazhengyuan, sensitive to light reflection. Neck soft. Cardiopulmonary normal. Abdomen soft, liver rib 1.5cm, sword 3.0cm, soft texture, edge sharp, smooth surface, liver area percussion pain positive; spleen not touched; ascites sign negative. Nervous system, normal physiological reflex, pathological reflex bilateral Babinski’s sign positive, negative meningeal irritation, pyramidal tract