论文部分内容阅读
患者男性,年龄23岁,因乏力,纳差,腹胀,腹痛;于1995年8月26日入院。1月前,也因上述病状住外院治疗20余天,初诊为乙型肝炎;此后间断感腹痛,腹胀,轻度黄疸,及浮肿,入院后查体,神清,慢性病容,巩膜及皮肤轻度黄染,无出血点,瘀斑,心肺叩诊无异常发现。腹水征(+),肝于肋弓下触及1.5cm,质中等硬,有触痛,脾大平脐,质韧,边界清楚,两下肢中度凹陷性浮肿。化验:总胆红质与1分钟胆红质为85μmol/L和37μmol/L,ALT为130μ/L,乙肝四项(ELISA,酶标法),HBSAb
Male patient, age 23 years old, due to fatigue, anorexia, bloating, abdominal pain; in August 26, 1995 admission. 1 month ago, but also because of the above conditions outpatient treatment more than 20 days, newly diagnosed as hepatitis B; thereafter intermittent sense of abdominal pain, abdominal distension, mild jaundice, and edema, admission examination, Shen Qing, chronic disease, scleral and mild skin Yellow dye, no bleeding point, ecchymosis, percutaneous pulmonary heartbeat no abnormal findings. Signs of ascites (+), liver in the ribs under the bow touch 1.5cm, medium quality hard, tenderness, splenic flat umbilical, quality tough, clear boundary, lower extremity moderate depression edema. Assay: total bilirubin with 1 minute of the bilirubin 85μmol / L and 37μmol / L, ALT of 130μ / L, hepatitis B four (ELISA, ELISA method), HBSAb