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例1 孙××,22岁,未婚。1982年春因上腹不适,食量减少,小便色黄,皮肤黄染,按“肝炎”治疗后,黄疸消退。此后每因过劳即出现黄疸,时轻时重,不厌油,不影响上班。月经正常。兄妹七人,除三兄(侧二)外均未患过黄疸病,另有一姪女25岁,婚前曾患轻型黄疸。家族无出血病史。查体:发育营养佳,除巩膜轻度黄染外,无其它阳性体征。血常规、血小板、出凝血时间皆正常。红细胞脆性试验在正常范围,血总胆红质1.15mg%,直接胆红质0.45mg%,间接胆红质0.75mg%,范登伯氏直接反应阴性,间接反应阳性,黄疸指数18,肝功其他试验皆正常。乙肝表面抗原1:4。尿
Example 1 Sun × ×, 22 years old, unmarried. The spring of 1982 due to abdominal discomfort, reduced appetite, urine yellow, yellow skin, according to “hepatitis” treatment, jaundice subsided. Since then overwork that jaundice, when light weight, not greasy, does not affect work. Menstrual normal. Seven siblings, except three brothers (side two) have not suffered from jaundice outside, while a woman 25 years old, had jaundice before marriage. Family history of bleeding without history. Physical examination: good nutrition and development, in addition to scleral mild yellow dye, no other positive signs. Blood, platelets, clotting time are normal. Erythrocyte fragility test in the normal range, blood total bilirubin 1.15mg%, direct bilirubin 0.45mg%, indirect bilirubin 0.75mg%, Vandenberger direct reaction was negative, indirect reaction was positive, jaundice index 18, other liver function tests All normal. Hepatitis B surface antigen 1: 4. Pee