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[例1] 曹××,男性,66岁。因便秘,每晚睡前服双醋酚汀3片(15mg)已2年余。近一个月感到纳差、乏力和皮肤发黄。于1979年10月5日入院。检查:全身皮肤深度黄染,心肺(一),肝上界在第六肋间,肋缘下4.5cm,剑突下6cm;脾扪及2.5cm。胆红素12.4mg%,麝浊12u,麝絮+,锌浊20u,白蛋白2.7g%,球蛋白4.2g%,谷丙酶332u,IgG 4,550mg%,IgA 352mg%,IgM 132mg%,HBsAg(RPHA)2次(—),RF(—),AFP(—)。诊断:慢活肝(药物性)。停服双醋酚汀,每日静滴10%葡萄糖750ml,维生素C3g,肝泰乐0.266g,维生素K_1 20mg等共33天。临床症状基本消失,继续服维生素C等26天。出院前检查:肝肋缘下3cm,剑突下5cm,脾未扪及。胆红素0.75mg%,麝浊7u,麝絮+,锌浊16u。病愈出院,随访2年,肝睥不
[Example 1] Cao × ×, male, 66 years old. Due to constipation, every night before bedtime taking double vinegar tablets 3 (15mg) has more than 2 years. Almost a month feel anorexia, fatigue and yellow skin. In October 5, 1979 admission. Check: systemic skin depth yellow dye, heart and lung (a), the upper limit of the liver in the sixth intercostal space, rib margin 4.5cm, xiphoid 6cm; spleen palpable and 2.5cm. Bilirubin 12.4mg%, musk turbidity 12u, musk floss, zinc turbidity 20u, albumin 2.7g%, globulin 4.2g%, valine 332u, IgG 4,550mg%, IgA 352mg%, IgM 132mg%, HBsAg (RPHA) twice (-), RF (-), AFP (-). Diagnosis: slow living liver (drug). Stop taking bis-epimedol, intravenous infusion of 10% glucose 750ml, vitamins C3g, liver-Lok 0.266g, vitamin K_1 20mg and a total of 33 days. Clinical symptoms disappeared, continue to take vitamin C and other 26 days. Pre-discharge examination: liver ribs under 3cm, xiphoid 5cm, spleen not palpable. Bilirubin 0.75mg%, musk turbot 7u, musk floc +, zinc turbidity 16u. He was discharged from the hospital and followed up for 2 years without liver failure