病历摘要例1 男,43岁。患者因过劳后自觉周身不适,腹部胀满,巩膜黄染、尿色黄等一周,以“慢活肝”收入院。二年前因“慢活肝”入院治疗,好转。查体:体温、脉搏、血压、呼吸正常。皮肤、巩膜无黄染,颈、胸部可见蜘蛛痣。肝、脾未触及,移动性浊音阴性。实验室检查: 碘反应(+),锌浊10u,麝浊6u,谷丙转氨酶127.3u,黄 Case history 1 male, 43 years old. After the patient was consciously overworked whole body discomfort, abdominal fullness, scleral yellow dye, yellow urine, such as a week to “slow living liver” income hospital. Two years ago because of “slow living liver” admission treatment, improved. Physical examination: body temperature, pulse, blood pressure, breathing normally. Skin, Sclera no yellow dye, neck, chest visible spider nevus. Liver, spleen not touched, mobility dullness negative. Laboratory tests: iodine reaction (+), zinc turbidity 10u, musk turbidity 6u, alanine aminotransferase 127.3u, yellow