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1例59岁女性患者为保健误将黄独零余子当作何首乌每日1枚蒸熟服用,服用10 d(第10天服2枚)后出现黄疸、乏力、纳差、恶心等症状。实验室检查:丙氨酸转氨酶(ALT)1 090 U/L,天冬氨酸转氨酶(AST)2 620 U/L,γ-谷氨酰转移酶(γ-GT)98 U/L,总胆红素(TBil)566.3 μmol/L,直接胆红素(DBil)301.5 μmol/L,总胆汁酸(TBA)351.4 μmol/L。诊断为黄独零余子中毒性肝炎,给予复方甘草酸苷注射液、注射用还原型谷胱甘肽和茵栀黄注射液静脉滴注,熊去氧胆酸片和中药汤剂口服。25 d后肝功能明显好转,ALT 39 U/L,AST 90 U/L,γ-GT 115 U/L,TBil 60.6 μmol/L,DBil 34.5 μmol/L,TBA 121.5 μmol/L。“,”A 59-year-old female patient mistakenly took air potato (n Dioscorea bulbifera L.) as n Polygonum multiflorum (1 steamed piece daily, and 2 on the last day) for healthcare. Ten days later, the patient developed jaundice, fatigue, anorexia, and nausea. Laboratory tests showed alanine aminotransferase (ALT) 1 090 U/L, aspartate aminotransferase (AST) 2 620 U/L, gamma-glutamyltransferase (γ-GT) 98 U/L, total bilirubin (TBil) 566.3 μmol/L, direct bilirubin (DBil) 301.5 μmol/L, and total bile acid (TBA) 351.4 μmol/L. Toxic hepatitis caused by air potato was diagnosed. IV infusions of compound glycyrrhizin injection, reduced glutathione for injection, andn Yinzhihuang injection (茵栀黄注射液) and oral ursodeoxycholic acid tablets and traditional Chinese medicine decoction were given. After 25 days of treatments, her liver function were improved obviously, and laboratory tests showed ALT 39 U/L, AST 90 U/L, γ-GT 115 U/L, TBil 60.6 μmol/L, DBil 34.5 μmol/L, and TBA 121.5 μmol/L.n