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男,15岁.住院号40683.因乏力、纳差、恶心、尿色深黄7天,皮肤痒4天于1985年5月18日入院. 体检:T38.8℃.全身皮肤散在性红色斑丘疹及荨麻疹样皮疹.形态不规则.压之退色.躯干部较密集,有抓痕.巩膜黄染.心肺正常.肝肋下2.0cm.质地软.有压痛及叩击痛,莫菲氏征(一).脾肋下未触及。实验室检查,II26u,VDB直接阳性,SGPT>200u,HBsAg(一)抗—HBcIgM(一),抗—HAV.IgM1:2000阳性. 住院后给予口服复合维生素B片.中药岩柏冲剂,静脉滴注10%葡萄糖液.Vit.C护肝治疗.入院第3天皮疹自行消退,但其后在住院41天内皮疹反复出现.3～5天
Male, 15 years old. Hospital number 40683. Due to fatigue, anorexia, nausea, dark yellow urine for 7 days, itchy skin 4 days admitted on May 18, 1985. Physical examination: T38.8 ℃. Whole body skin scattered red spots Pimples and urticaria-like rash. Irregular shape. Fading of the pressure. Torso dense, scratches. Scleral yellow dye. Heart and lung normal liver ribs 2.0cm. Soft texture. There are tender and percussion pain, Levy (a). Spleen ribs did not touch. Laboratory tests, II26u, VDB direct positive, SGPT> 200u, HBsAg (a) anti-HBcIgM (a), anti-HAV.IgM1: 2000 positive .Oral oral vitamin B tablets after admission. Note 10% glucose solution.Vit.C hepatoprotective therapy.3 days after admission, the rash subsided spontaneously, but then repeated within 41 days of hospitalized rash.3 to 5 days