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病历摘要 顾某,女,24岁,护士,山东籍,未婚。因反复出现黄疸、肝区痛20多年,发热、气促、腹胀2月余,于1977年11月15日再次入院。 患者于出生后13天出现腹胀、大便灰白、小便深黄、皮肤黄染,拟诊为“阻塞性黄疸”而住院治疗,但疗效不佳,自动出院。8个月后黄疸自退。1岁时黄疸复现,伴肝区痛、纳差、皮肤搔痒。整个童年发育较差,体弱多病。1965年8月(11岁)再次入院时,黄疸指数30u,GPT(金氏法)410u,BSP45分钟与2
Medical record Gu, a woman, 24 years old, nurse, Shandong nationality, unmarried. Due to recurrent jaundice, liver pain for more than 20 years, fever, shortness of breath, bloating more than 2 months, on November 15, 1977 re-admission. Patients with abdominal distension 13 days after birth, gray stool, dark yellow urine, skin yellow dye, to be diagnosed as “obstructive jaundice” and hospitalized, but the curative effect is poor, discharged automatically. Jaundice returned after 8 months. 1 year old jaundice recurrence, with liver pain, anorexia, itchy skin. Poor childhood development, frailty. August 1965 (11 years old) re-admission, jaundice index 30u, GPT (King’s method) 410u, BSP45 minutes and 2