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病史资料:患者,男,17岁,中学生。于2001年4月23日以“全身乏力,伴纳差两周”为主诉入院。入院查体:T:36.5℃,P:80次/分,R:20次/分,Bp:12/8kpa,精神差,意识清,全身皮肤轻度黄染,巩膜明显黄染:心肺(一),腹平软,无压痛、反跳痛,肝脾未触及肿大。肝功示:ALT(谷丙转氨酶):1857.7μ/L,AST(谷草转氨酶):890μ/L,TBIL(总胆红素)20810μmol/L,DBIL(直接胆红素):61.4μmol/L,IBIL(间接胆红素):146.6μmol/L;三对半示:HBsAg(-),HbsAb(+),HbeAg(-),HbeAb
Medical history information: Patient, male, 17 years old, middle school student. On April 23, 2001 to “malaise, with anorexia two weeks ” as the main complaint. Admission examination: T: 36.5 ℃, P: 80 beats / min, R: 20 beats / min, Bp: 12 / 8kpa, poor spirit, clear consciousness, ), Abdominal soft, no tenderness, rebound tenderness, liver and spleen did not touch swollen. Liver function tests were as follows: ALT (alanine aminotransferase): 1857.7 μL, AST (aspartate aminotransferase): 890 μL, TBIL 20810 μmol / L, DBIL direct bilirubin 61.4 μmol / IBIL (indirect bilirubin): 146.6 μmol / L; three pairs of semi-indications: HBsAg (-), HbsAb (+), HbeAg (-), HbeAb