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例1,女,75岁,因“乏力纳差一个月,尿黄半个月”于2012年6月1日入院。患者主诉入院前曾于2012年1月开始服用灵芝益寿胶囊(厂家不详)。患者否认近期与类似患者密切接触史,否认使用输血制品史,否认家族性遗传病及传染病史。近几年自服吲达帕胺片、复方降压片,血压控制稳定。入院体检:神志清,精神萎靡,可见肝掌,未见蜘蛛痣,未见皮肤瘀点瘀斑,巩膜黄染。辅查肝功能:ALT 307.9 U·L-1,AST 167.5 U·L-1,ALP 85.2 U·L-1,GGT 211.6 U·L-1,TBI 167.8μmol·L-1,DBI 101.9μmol·L-1。乙肝两对半乙肝表面抗体阳性,乙肝e抗体阳性,乙肝核心抗体阳性。入院诊断:急性黄疸型病毒性肝炎、胆囊炎、原发性高血
Example 1, female, 75 years old, due to “fatigue anorexia for one month, urine yellow for half a month ” on June 1, 2012 admission. Patients admitted to hospital before January 2012 began taking Ganoderma lucidum Yishou capsules (manufacturers unknown). Patients denied recent close contact with similar patients, denied using the history of blood transfusion products, denied familial genetic disease and infectious disease history. In recent years, self-service indapamide tablets, compound antihypertensive tablets, blood pressure control and stability. Admission medical examination: Consciousness, apathetic, visible liver palms, no spider nevus, no petechiae of the skin petechiae, sclera yellow dye. The hepatic function of ALT 307.9 U · L-1, AST 167.5 U · L-1, ALP 85.2 U · L-1, GGT 211.6 U · L-1, TBI 167.8μmol·L-1, DBI 101.9μmol·L -1. Hepatitis B two pairs of hepatitis B surface antibody positive, hepatitis B e antibody positive, hepatitis B core antibody positive. Admission diagnosis: acute jaundice viral hepatitis, cholecystitis, primary hyperlipidemia