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我院于1977年4月至8月共收治90例肝炎,其中急性黄疸型病毒性肝炎合并原发性单纯性疱疹2例,现报告如下: 例一:男,36岁,工人。主诉上腹胀痛半月多,伴有上唇皮疹(初次发生),倦怠、胃纳呆、眼黄、小便茶色、大便结,经门诊中医诊为“黄疸”症而转我科。查询有肝炎患者接触史。体检:巩膜黄染,上唇有斑丘及小水疱样皮疹,心肺未见重要异常,肝上界第6肋间,下缘肋下2公分,质Ⅰ~Ⅱ~0,边缘锐利,脾未触及。化验室检查:黄疸指数25单位,胆红质1.8毫克%,脑絮反应卅,谷丙转氨酶672单位,超声波提示肝炎密集微波,舌质尖边红、苔黄腻,脉弦数,诊断为急性黄疸型病毒性肝炎合并单纯性疱疹,经用高渗葡萄糖加维生素C注射,肝太乐,肝维隆,复合维生素B片等一般护肝药物,加复方茵陈合剂(茵陈一
Our hospital in April 1977 to a total of 90 cases of hepatitis treated in August, of which acute jaundice virus hepatitis with primary herpes simplex 2 cases, are as follows: Example 1: male, 36 years old, workers. Chief complaint of upper abdominal pain for more than half a month, accompanied by upper lip rash (first occurrence), fatigue, gastric entrapment, eye yellow, urine brown, stool knot, clinics diagnosed as “jaundice” and turn my subjects. Check the history of hepatitis patients contact. Physical examination: scleral yellow dye, there are spots on the upper lip and small blister-like rash, heart and lung no major abnormalities, the upper 6th intercostal space, the lower edge of the rib 2 cm, quality Ⅰ ~ Ⅱ ~ 0, sharp edges, . Laboratory tests: jaundice index 25 units, 1.8 mg% of bilirubin, brain floc reaction 卅, alanine aminotransferase 672 units, ultrasound prompts intensive hepatitis of hepatitis, tongue sharp red, yellow greasy mulch, pulse string number, the diagnosis of acute Jaundice-type viral hepatitis complicated with herpes simplex, with hypertonic glucose and vitamin C injection, liver too Le, liver wailon, vitamin B tablets and other general liver medicine, plus compound Yin Chen mixture