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本文报道1例血清学证实的甲型肝炎病人在肝活检时发现纤维蛋白环肉芽肿,而以往未见此类报道。病例男,30岁,因黄疸入院。1周前已出现发热,关节肌肉酸痛,全身不适和头痛。入院时体温39.7℃。体检发现黄疸和肝肿大,有触痛。实验室检查:白细胞5600/mm~3,AST 51IU/L,ALT 331IU/L,碱性磷酸酶663IU/L,γ-GT334IU/L,总胆红素12.5mg/dl。血、尿培养为阴性。腹部超声扫描未见局灶性病变和胆管系统扩张。
This article reports 1 case of hepatitis A confirmed serologically confirmed by liver biopsy fibrin ring, while no such reports in the past. Case male, 30 years old, admitted to hospital for jaundice. 1 week ago fever, joint soreness, general malaise and headache have occurred. Admission temperature 39.7 ℃. Physical examination found jaundice and hepatomegaly, tenderness. Laboratory tests: white blood cells 5600 / mm ~ 3, AST 51IU / L, ALT 331IU / L, alkaline phosphatase 663IU / L, γ-GT334IU / L, total bilirubin 12.5mg / dl. Blood, urine culture is negative. Abdominal ultrasound scan showed no focal lesions and bile duct dilatation.