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患者男性,20岁 因反复肝功能异常3年,乏力伴尿黄3余月,于1991年7月21日入院,既往嗜酒(日饮白酒约250ml)10年。体检:T36.6℃,P78次/min,BP14/8kPa(105/60mmHg)-皮肤无黄染,颈部、双前臂可见蜘蛛痣,无肝掌,心沛听诊正常。腹软,肝、脾肋下均3cm,质硬,表面光滑,轻压痛,移动性浊音阴性 ALT55u,HBsAg阴性,白球蛋白比例正常。B型超声诊断为肝硬化腹水(少量),脾肿大。临床诊断为酒精性肝硬化(代偿期)。依次予每天丹参30ml(江苏盱眙制药厂,批号901002)加入复方氯化钠液500ml内、3H复方氨基酸250ml静脉滴注,第9天上午10:00许(液体输入约1h)患者突感畏寒、发热。体检:T39.8℃,P96次/min,
Male patients, 20 years old due to repeated abnormal liver function for 3 years, fatigue with urinary yellow more than 3 months, on July 21, 1991 admission, past alcoholism (daily drinking liquor about 250ml) for 10 years. Physical examination: T36.6 ℃, P78 times / min, BP14 / 8kPa (105 / 60mmHg) - skin without yellow dye, neck, double forearm visible spider nevus, liver palms, heart Pei auscultation normal. Abdomen soft, liver, spleen ribs are 3cm, hard, smooth surface, mild tenderness, mobility negative voiced ALT55u, HBsAg negative, white globulin ratio is normal. B ultrasound diagnosis of cirrhosis ascites (a small amount), splenomegaly. Clinical diagnosis of alcoholic cirrhosis (decompensated). Danshen 30ml (Jiangsu Xuyi Pharmaceutical Factory, batch number 901002) was added to 500ml of compound sodium chloride solution daily, 250ml of 3H compound amino acid was intravenously dripped. On the 9th day at 10:00 am (liquid input was about 1 hour) ,fever. Physical examination: T39.8 ℃, P96 times / min,