患儿、女、5个月,以皮肤、巩膜发黄,神志不清两天,抽搐一次为主诉入院。患儿一周前受凉感冒,流清涕伴咳嗽,两天前,突然出现全身皮肤及巩膜黄染,神志不清并抽搐一次,当地医院诊为“黄胆性肝炎”按之处理无效转来。体格检查:体温36.9℃,脉搏140次/分,呼吸30次/分,体重4000g,发育营养差,昏迷,皮肤、巩膜重度黄染,双侧瞳孔等大,对 Children, women, 5 months to the skin, sclera yellow, delirious for two days, convulsions were mainly admitted to hospital. A week ago, the children had a cold and a cold and a clear runny nose accompanied by cough. Two days ago, a sudden appearance of systemic skin and sclera yellow dye, confusion and convulsions, local hospitals diagnosed as “jaundice hepatitis” according to the treatment of invalid transfer. Physical examination: body temperature 36.9 ℃, pulse 140 beats / min, breathing 30 beats / min, weight 4000g, poor nutrition, coma, skin, sclera severe yellow dye, bilateral pupils and other large, right