病例:张×× 男 16岁。自幼住某化工厂生产三硝基甲苯(TNT)车间旁边,经常进入车间。1979年1月至4月参加工作,从事TNT人工卷管装药后,尿呈油样颜色,手指黄染:食量减少一半,稍有厌油乏力,停止工作后即消失。伴有咳嗽,齿龈出血。1979年7月职业病普查,肝于右肋缘下可触及4厘米,质中等硬度,谷丙转氨酶500单位以上(正常值170单位),黄疸指数4单位,HAA阴性,于8月7日收住院治疗。 Case: Zhang XX male 16 years old. Since a child lived in a chemical plant next to the production of trinitrotoluene (TNT) workshop, often into the workshop. January 1979 to April to participate in work, engaged in TNT manual tube charge, the urine was oil-like color, finger yellow dye: food intake reduced by half, a little tired of oil tired, stop working immediately disappear. Accompanied by cough, bleeding gums. 1979 July Occupational Disease Census, liver can reach 4 cm under the right costal margin, medium hardness, alanine aminotransferase 500 units or more (normal 170 units), jaundice index 4 units, HAA negative, on August 7 admitted to hospital treatment.