讨论本例有以下特点: 年青女性、入院前有腹痛、黄疸、消化系统症状;入院呈明显黄疸、右上腹持续性疼痛、有压痛、肝轻肿大、胆囊未扪及、迅速出现明显贫血,有谵妄及昏迷;晚期有出血、腹水、临终时发生急性肺水肿;总病程二十天,从入院到死亡仅五天。主要检查:血红蛋白由10.5—5.4g,末梢血见有核红、网织红细胞19.5％,白细胞高达23850个,肝功改变不大、GPT及AKP零、黄疸指数高达400u,凡登白直接迅速反应,胆色素持续阳性,而尿 Discussion This case has the following characteristics: young women, abdominal pain before admission, jaundice, digestive symptoms; admission was jaundice, persistent pain in the right upper quadrant, tenderness, liver swelling, gallbladder palpable rapid anemia, Have delirium and coma; late bleeding, ascites, acute pulmonary edema occurs at the end of the total duration of 20 days, from admission to death only five days. The main examination: hemoglobin from 10.5-5.4g, peripheral blood see a red, reticulocyte 19.5%, up to 23850 white blood cells, liver function changed little, GPT and AKP zero, jaundice index up to 400u, Vandenbai direct and rapid response , Bile pigment continued positive, and urine