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1病例报告患者男,46岁。赴非洲某国务工,回国2周后出现发热、头痛,体温38.5℃,在当地诊所对症治疗,效果不佳;4天后出现反应迟钝、精神差,来我院就诊。体检显示:脉搏96/min,右上腹压痛,余未发现特殊阳性体征。实验室检查:(1)白细胞计数7.35×109/L,红细胞计数3.84×1012/L,血红蛋白100g/L,血小板计数17×109/L;(2)谷丙转氨酶74U/L,谷草转氨酶61U/L,γ-谷氨酰转肽酶165U/L,总胆红素113.45μmol/L,间接胆红素64.97μmol/L,直接胆红素48.48μmol/L,总蛋白56.2g/L,清蛋白31.8g/L;(3)尿素氮19.4mmol/L;(4)D-二聚体19 985μg/L,同型半胱氨酸27.4μmol/L;(5)淋巴细胞亚群
A case report male patient, 46 years old. He went to work in a country of Africa and returned to China with fever and headache two weeks after he returned home. His body temperature was 38.5 ℃. Symptomatic treatment was not effective in local clinics. After 4 days, he was in a sluggish mood and was in poor spirits. Physical examination showed: pulse 96 / min, right upper quadrant tenderness, I found no special positive signs. Laboratory tests: (1) white blood cell count of 7.35 × 109 / L, erythrocyte count of 3.84 × 1012 / L, hemoglobin of 100g / L and platelet count of 17 × 109 / L; (2) alanine aminotransferase 74U / L, γ-glutamyl transpeptidase 165U / L, total bilirubin 113.45μmol / L, indirect bilirubin 64.97μmol / L, direct bilirubin 48.48μmol / L, total protein 56.2g / L, albumin 31.8 g / L; (3) urea nitrogen 19.4 mmol / L; (4) D-dimer 19 985 μg / L and homocysteine 27.4 μmol / L;