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黄氏,30岁,住院号840990,于1984年11月8日晨(昏迷清醒次日)自然流产,娩出6月龄男性胎儿,皮肤中度黄染,血清 GPT144u,SB 7.5mg%,VDB 双相强阳性,HBsAg 1:8(RPHA),骨髓浆 HBsAg 1∶4。胎儿系急性重症乙型病毒性肝炎,肝昏迷患者之子,因脐绕颈二周,心搏微弱,5分钟后心跳停止。立即剖腹,见肝脏上下径12cm,左右径15cm,色暗红,表面光滑,质软,边沿锐利,取肝脏组织及心脏内血送检。胎肝组织浆 HBsAg1∶64。胎肝组织病理检查:肝组织广泛坏死,肝小叶消失,肝
Huang, aged 30, hospital number 840990, spontaneous abortion on the morning of the 8th of November, 1984 (unconsciousness the next day), 6 months old male fetus with moderate yellowish skin, serum GPT144u, SB 7.5mg%, VDB double Strong positive phase, HBsAg 1: 8 (RPHA), bone marrow plasma HBsAg 1: 4. Fetal acute severe hepatitis B, children with hepatic coma, because the umbilical cord around the neck, weak heartbeat, 5 minutes after the heartbeat stopped. Immediate cesarean section, see the upper and lower liver diameter 12cm, left and right diameter 15cm, dark red, smooth surface, soft, sharp edges, take the liver tissue and heart blood for examination. Fetal liver tissue plasma HBsAg1: 64. Fetal liver histopathology: extensive hepatic necrosis, hepatic lobules disappear, liver