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刘某,男,28岁,病案号60236,因全身黄染两月,于1981年6月4日入院。病人发现两眼发黄,继而全身皮肤黄染、瘙痒,伴有乏力,曾经住当地医院以“黄疸型肝炎”治疗一月,疗效不佳而来本院。病后食欲佳,睡眠差,消瘦(体重由62kg 降至51kg)。既往无肝炎接触史。入院检查:体温37℃,脉搏84次/分,血压124/80mmHg;慢性病容,颜面灰暗;巩膜及全身皮肤深度黄染,无出血点、瘀斑及蜘蛛痣,浅表淋巴结不肿
Ryu, male, 28 years old, case number 60236, due to body yellow dye two months, on June 4, 1981 admission. Patient found yellow eyes, followed by body yellowish yellow, itching, accompanied by fatigue, had lived in a local hospital to “jaundice hepatitis” treatment January, poor efficacy from the hospital. Good appetite after illness, poor sleep, weight loss (weight reduced from 62kg 51kg). Past history of hepatitis exposure. Admission examination: body temperature 37 ℃, pulse 84 beats / min, blood pressure 124 / 80mmHg; chronic disease, dark face; scleral and systemic skin depth yellow dye, no bleeding spots, ecchymosis and spider nevus, superficial lymph nodes not swollen