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我们最近遇到1例患者服脂肪餐诱发肝昏迷死亡,这种情况少见,特此报道,以引为教训。患者女性,15岁,因吃鸡肉后出现腹泻,呕吐、黄疸,疑病毒性肝炎于5月22日住院,体检见皮肤、巩膜轻度黄染,肝可扪及,余无特殊。否认肝、胆病史。实验室检查:黄疸指数24单位,谷丙转氨酶60～170单位,其他肝功能及血象正常。入院后,经护肝治疗,病情已有好转。在住院期间(7月中旬)进食肉类后,再次出现右上腹隐痛,胆囊区轻压痛,胆囊触痛征(±),疑胆道感染,加用氯霉素后腹痛
We recently encountered a case of fat-fed patients with fat-induced liver coma death, this rare situation, it is reported here, cited as a lesson. Female, 15 years old, diarrhea, vomiting and jaundice due to eating chicken, hospitalized for suspected viral hepatitis on May 22, physical examination showed skin, scleral mild yellow dye, liver palpable, I no special. Denied the history of liver and gallbladder. Laboratory tests: jaundice index 24 units, alanine aminotransferase 60 to 170 units, other liver function and blood normal. After admission, the liver treatment, the condition has been improved. During hospitalization (mid July) after eating meat, the right upper quadrant pain appears again, mild tenderness in the gallbladder area, gallbladder tenderness sign (±), suspected biliary tract infection, add chloramphenicol after abdominal pain