1病例摘要患者男性,55岁,农民。因乏力、纳差、腹痛、身目黄染4天于2011-5-21入院。患者于5月16日曾吃蛇肉、鱼肉,并生吃4公斤鲩鱼的鱼胆汁一个,第2天即出现全身乏力、食欲下降、上腹部胀痛、尿黄如浓茶样,曾排酱油样尿,伴恶心、呕吐、厌油腻;继而出现巩膜皮肤黄染、尿量减少、下肢浮肿;无发热、咳嗽、呕血等。自服中草药(不详)无好转,黄疸进行加重而来诊。门诊腹部B超检查示肝实质回声细密,少量腹水,肝内胆管扩张,胰头增厚。以梗阻性黄疸收入外科。既往史、个人史及家族史均无特殊。患者无 1 case summary Male patient, 55 years old, farmer. Because of fatigue, anorexia, abdominal pain, body yellow dye 4 days in 2011-5-21 admission. Patients on May 16 had to eat snake meat, fish, and raw fish 4 kg bream fish bile, the first two days of generalized weakness, loss of appetite, upper abdominal pain, urine yellow like strong tea, had row Soy-like urine, with nausea, vomiting, tired of greasy; followed by scleral skin yellow dye, decreased urine output, lower extremity edema; no fever, cough, vomiting and so on. Self serving Chinese herbal medicine (unknown) no improvement, jaundice increased and come to the clinic. B-ultrasound examination of the abdomen shows the echogenicity of the liver, a small amount of ascites, intrahepatic bile duct dilatation, thickening of the head of the pancreas. Surgery with obstructive jaundice. Past history, personal history and family history are no special. No patient