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患者女,45岁,于1992-04-22因右上腹胀痛,恶心乏力,食欲不振2年,加重2个月入院。入院后查体:生命体征平稳,肝病面容,无肝掌及蜘蛛痣,两侧乳房对称,无包块,无触痛,心肺无异常,腹软、肝脾未触及。实验室检查;乙肝系列;HBcAg阳性;B超示:肝光点增多。临床诊断:慢性迁延性肝炎。治疗给予5％葡萄糖250ml加强力宁80ml,5％葡萄糖液250ml加维生素C5.0g、每日1次静滴。用药20天后,患者出现头痛,两乳房胀痛、挤压乳房见有乳汁流出,次日拍颅蝶鞍片回报;蝶鞍区结构未见异常,即停用强力宁静滴,继续静滴维生素C组。于停药第3日患者头痛及两乳房胀痛症状消失,泌乳减少,第7
Female, 45 years old, suffering from right upper quadrant pain, nausea and weakness, loss of appetite for 2 years and aggravating 2 months admission on 1992-04-22. After admission, physical examination: stable vital signs, liver disease face, liver palms and spider nevus, breast symmetry on both sides, no mass, no tenderness, no abnormal heart and lung, abdominal soft, liver and spleen not touched. Laboratory tests; Hepatitis B series; HBcAg positive; B ultrasound showed: liver spots increased. Clinical diagnosis: chronic persistent hepatitis. Treatment given 5% glucose 250ml Reinforcing 80ml, 250ml of 5% glucose solution plus vitamin C5.0g, intravenous infusion once daily. 20 days after treatment, the patient had a headache, two breast pain, squeeze the breast to see the milk outflow, the next day shot cranial sella saddle film returns; sella region structure no exception, that is, disable the strong quiet drop, continue intravenous vitamin C group. On the 3rd day after stopping the patient’s headache and two breast pain symptoms disappeared, lactation decreased, 7th