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患者,男性,38岁,农民。因乏力、纳差伴阵发性肝区隐痛1年,于1998年9月收住院。患者于入院前1年出现纳差,厌油,无恶心呕吐,咽部疼痛不适,无咳嗽。感觉乏力,双下肢肌肉酸痛,同时伴阵发性肝区隐痛,尿黄色,无腰痛、尿痛,但述说晨起面部水肿,午后消迟。于当地乡卫生院检查:肾脏功能良好;肝功能:ALT中度升高;肝胆B超:肝脏大体正常声像图,胆囊炎症,HmAg(-)。给消炎利胆片、维生素C、联苯双酯滴丸等药物治疗2个月,症状缓解后停药。4个月后复出现上述症状,到我院就诊,检查肝功能ALT、AST均明显增高,AST/ALT大于
Patient, male, 38 years old, farmer. Due to fatigue, anorexia with paroxysmal liver pain 1 year, admitted in September 1998. Patients admitted to hospital 1 year before the emergence of anorexia, tired of oil, no nausea and vomiting, throat pain, no cough. Feeling weak, both lower extremity muscle soreness, accompanied by paroxysmal liver pain, urinary yellow, no back pain, dysuria, but the morning facial edema, morning delay. In the local township hospital examination: kidney function is good; liver function: ALT moderate increase; liver and gallbladder B: liver general normal sonogram, cholecystitis, HmAg (-). To anti-inflammatory gallbladder tablets, vitamin C, bifendate pills and other drugs for 2 months, withdrawal of symptoms after remission. 4 months after the re-emergence of the above symptoms, to our hospital, check liver function ALT, AST were significantly higher, AST / ALT greater than