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患者女,25岁,因纳差乏力10天,眼黄尿黄4天,于1991年10月1日入院。查体:T37℃、P84次/分、R20次/分、Bp14/9kPa.巩膜轻度黄染。肝肋下2cm、质软微触痛,脾未扪及。神经系统及其他无异常。肝功能:II25~u、TT20~u、ZnT14~u。HBsAg(-).血常规:RBC4.56×10~(12)/L、Hb134g/L、WBC6.6×10~9/L、NO.75、L0.25.尿二胆 ++.B 超肝脏大小及回声正常。诊断为病毒性肝炎,急性黄疸型。
Female patient, 25 years old, because of poor mana fatigue for 10 days, yellow eyes yellow urine 4 days, in October 1, 1991 admission. Physical examination: T37 ℃, P84 times / min, R20 beats / min, Bp14 / 9kPa. Scleral mild yellow dye. Liver ribs 2cm, soft micro-tenderness, the spleen is not palpable. Nervous system and other no abnormalities. Liver function: II25 ~ u, TT20 ~ u, ZnT14 ~ u. HBsAg (-). Blood: RBC4.56 × 10 ~ (12) / L, Hb134g / L, WBC6.6 × 10 ~ 9/L, NO.75, L0.25. Liver size and echo normal. Diagnosis of viral hepatitis, acute jaundice.