黄疸是临床上常见的一个症状和体征,不论临床内、外、妇产及儿科,也不论男女老幼都常见到。其病因又十分复杂,为临床医生所重视。现将我科收治的胆管细胞癌误诊为重症肝炎一例报告如下。患者男、33岁。因肝区不适三年,加重二月,皮肤巩膜黄染一月于1985年4月住院。自述于入院前三年开始乏力、纳差、肝区不适,肝功正常,HBsAg阳性,曾间断在门诊治疗,入院前二月因劳累上述症状加重,逐渐出现尿黄皮肤搔痒,既往体健。体检:T37.2℃ P84次/分 R24次/分 Bp110/70,发育正常,营养欠佳,神志清楚,查体合作。全身皮肤由入院时轻度黄染迅速达重度黄染,可见出血 Jaundice is a common clinical symptoms and signs, regardless of clinical, external, obstetrics and gynecology, but also both men, women and children are common. The etiology is very complicated and is valued by clinicians. Now my department admitted cholangiocarcinoma misdiagnosed as severe hepatitis a case report is as follows. Male patient, 33 years old. Due to liver discomfort for three years, increased in February, skin scleral yellow dye in January 1985 hospitalized. Readily described in the three years before admission, fatigue, anorexia, liver discomfort, normal liver function, HBsAg positive, had intermittent out-patient treatment, due to fatigue before February 2, the above symptoms, gradually urinary yellow skin itching, previous physical health. Physical examination: T37.2 ℃ P84 times / min R24 times / min Bp110 / 70, normal development, poor nutrition, conscious, physical examination. Whole body skin mild yellow dye from hospital admission quickly reached severe yellow dye, showing bleeding