论文部分内容阅读
患儿男,10岁。主因乏力,纳差、呕吐、腹痛4日,眼黄2日,于1991年6月6日入院。急诊T36.4℃,双侧巩膜轻度黄染,腮腺无肿大。全身皮肤有轻度黄染,肝、脾未触及,肝区有叩击痛。肝功能:II35u,TTT12.8u,TFT(++),GPT200u(25u为正常)。HBsAg(-)。凡登白试验:直、间接反应呈双相强阳性。尿三胆:尿胆素原(+),胆红素(+)。WBC7500/mm~3,N82％,L18％。入院诊断:急性甲型黄疸型病毒性肝炎,给予保肝治疗。入院后第6日,患儿黄疸加重,肝脏肿大(右锁中线肋缘下2cm),午后出
Children male, 10 years old. Mainly due to fatigue, anorexia, vomiting, abdominal pain on the 4th, eye yellow 2, June 6, 1991 admission. Emergency T36.4 ℃, bilateral scleral mild yellow dye, parotid gland enlargement. Body skin mild yellow dye, liver, spleen not touched, liver percussion pain. Liver function: II35u, TTT12.8u, TFT (++), GPT200u (25u is normal). HBsAg (-). Where Deng white test: Straight, indirect reaction was biphasic strong positive. Urine three gallbladder: Urobilinogen (+), bilirubin (+). WBC7500 / mm ~ 3, N82%, L18%. Admission diagnosis: Acute jaundice virus hepatitis, liver protection given. On the 6th day after admission, children with jaundice were exacerbated and the liver was swollen (2cm below the right midline of the rib cage)