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女,23岁。因HBsAsg阳性3年,巩膜皮肤黄染1月,于1990年8月13日入院。患者入院前3年查体时发现HB-sAg阳性,肝功基本正常,偶有ALT增高,亦无明显自觉症。曾间断服用护肝药。入院前1月,无明显诱因,出现巩膜及皮肤黄染,尿色加深,患者除轻度乏力外,无其它不适。体查:T 36 C,P 70 min。巩膜及皮肤轻度黄染,浅表淋巴结未触及,心肺正常,腹平软,肝肋下未及,剑下1.5 cm,质中无压痛,脾肋下未及。实验室检查:Hb 115 g/L,PC 168×10~9/L,WBC 8.1×10~9/L。肝功:总胆红素 30.3 μmol/L,1 min胆红素 8.2 μmol/L,TTT 5 U,ALT 48 U。HB-VM:HBsAg(+),抗-HBc(+),抗-HBe(+)。
Female, 23 years old. Due to HBsAsg positive for 3 years, the scleral skin yellow dye January, was admitted on August 13, 1990. Patients admitted to hospital 3 years before the examination found HB-sAg positive, liver function was normal, occasional ALT increased, nor obvious symptoms. Have taken intermittent liver drug. January before admission, no obvious incentive to appear sclera and skin yellow dye, dark urine, patients with mild fatigue, no other discomfort. Physical examination: T 36 C, P 70 min. Sclera and skin mild yellow dye, superficial lymph nodes not touched, normal heart and lungs, abdominal soft, liver ribs under, Sword 1.5 cm, no tenderness in the quality, spleen and ribs did not. Laboratory tests: Hb 115 g / L, PC 168 × 10 ~ 9 / L, WBC 8.1 × 10 ~ 9 / L. Liver function: total bilirubin 30.3 μmol / L, 1 min bilirubin 8.2 μmol / L, TTT 5 U, ALT 48 U. HB-VM: HBsAg (+), anti-HBc (+), anti-HBe (+).