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病例摘要患者,男,30岁,1984年3月24日以“黄疸待查”入院。住院号23656。该患者15岁始因剧烈运动后出现尿黄,24岁时发现目黄,1981年9月初因发热两日后尿黄、目黄加重,伴一过性乏力、纳差。肝功能试验:黄疸指数30单位,余均正常;查尿三胆,尿胆原弱阳性,经一般保肝药物治疗后黄疸持续不退,多次复查肝功,胆红素持续在2～4毫克％,以直接胆红素为主,谷丙转氨酶(GPT)一直正常,麝香草酚絮状试验(TTT)正常或偏高达14单位。1984年1月后再次出现乏力、肝区不适,为查明原因而入院。患者否认家族中有黄疸病史,15岁后出现肝掌。查体:一般状况好,巩膜轻度黄染、肝脾不大,肝掌阳性,余无阳性体征。
Case Summary Patients, male, 30 years old, March 24, 1984 with “jaundice pending” admission. Hospital number 23656. The patient started urinary yellow at the age of 15 due to vigorous exercise, and was found at 24 years old. In early September 1981, urine yellow and yellow eyes were exacerbated after two days of fever in early September 1981, with transient weakness and anorexia. Liver function test: 30 units of jaundice, the remaining were normal; check urinary gall bladder, urinary cough weak positive, after the general treatment of liver jaundice continued non-return, repeated liver function, bilirubin continued in 2 to 4 Mg, to direct bilirubin, alanine aminotransferase (GPT) has been normal, thymol flocculent test (TTT) normal or up to 14 units. After January 1984 again fatigue, liver discomfort, to find out the reason and admission. Patients deny family history of jaundice, liver palms after 15 years of age. Physical examination: the general condition is good, scleral mild yellow dye, hepatosplenomegaly, positive liver palms, I no positive signs.