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患者女,23岁,住院号51773。两年来因长期巩膜黄染,前后三次住院治疗。第一次于1978年12月13日诊断急性黄疽型肝炎入院,经治疗消化道症状减轻,但黄疸未退尽出院,第二次黄疸伴有发烧,于1979年12月1日入院,经保肝治疗好转,但黄疸未完全消退,出院诊断为肝炎后直接胆红素增高血症,本次因上述症状加重,又于1980年10月8日第三次入院。既往体健,家族无黄疸史、输血史和肝炎接触史。查体,巩膜、皮肤轻度黄染,蜘蛛痣(一),心肺正常,肝脾未扪及。化验:血、尿、便常规正常。尿胆
Female patient, 23 years old, hospital number 51773. Two years because of long-term scleral yellow dye, before and after three hospitalizations. The first time in December 13, 1978 diagnosis of acute yellow juvenile hepatitis admitted to the hospital, the treatment of gastrointestinal symptoms, but jaundice did not quit discharged, the second jaundice accompanied by fever, on December 1, 1979 admission, the Liver protection improved, but jaundice did not completely dissipate, discharged after diagnosis of hepatitis bilirubin hypercapnia, the increase due to the above symptoms, but also on October 8, 1980 the third admission. Past physical health, family history of jaundice, blood transfusion history and history of hepatitis exposure. Physical examination, sclera, skin mild yellow dye, spider nevus (a), normal cardiopulmonary, liver and spleen not palpable. Laboratory: blood, urine, they are normal. Urine gall