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患男,48岁,以纳差20d伴尿黄1周于1995年11月28日以“急性黄疸肝炎”收住传染科。患者入院前20d无诱因出现乏力,食欲下降,近1周发现尿色发黄如茶水,继而全身皮肤发黄,无呕吐及腹泻,大便1日1次,无陶土样大便,无皮肤瘙痒,无剧烈腹痛及放射痛。20d来体重下降3kg。既往无肝病史,无肝炎密切接触史。半年来四肢驱干皮下出现神经纤维瘤(病理证实),部分于入院前半月行手术切除。查体:T36.8℃,P80次/min,巩膜及皮肤重度黄
The male patient, 48 years old, was admitted to the Department of Infectious Disease with “acute jaundice hepatitis” on November 28, 1995, with an anaerobic 20-day history of urinary yellow. 20 days before hospital admission, there was no incentive for fatigue, loss of appetite, and yellow urine was found in tea in the past 1 week, followed by yellowing of the body’s skin, no vomiting and diarrhea, 1 stool 1 day, no clay stool, no itching, no Severe abdominal pain and radiating pain. 20g lose weight 3kg. No previous history of liver disease, no history of close contact with hepatitis. In the past six months, neurofibromas appeared under the limbs (pathological confirmation), and some of them were surgically removed half an month before admission. Physical examination: T36.8°C, P80 beats/min, sclera and severe yellow skin