论文部分内容阅读
患者,男,32岁。因右上腹疼痛,尿黄1周于1991年3月16日入院。入院前吸毒3个月。住院前3周共服氯丙噻25mg×20,最大一次量为25mg×8。查体:T36.2℃,BP10.7kPa,意识朦胧,自动体位,皮肤巩膜黄染。伸舌吞咽困难。心肺正常。腹软,14.7/肝右肋下0.5cm,莫菲氏征阴性,肝区叩痛。脾肋下未触及,腹部无压痛,移动性浊音阴性,肠鸣音正常。化验检查:血常规RBC5.23×10~(12)/L,Hb154g/L,WBC1.31×10~9/L,N0.93,Pc10万/mm~3。肝功 A/G=4.3/3.2,总胆红素16mg%,一分钟胆红质4.6mg%,黄疸指数160U,S-GPT54U,HBsAg 阴性。B 超报告:肝胆脾未见异常。
Patient, male, 32 years old. Due to the right upper quadrant pain, urinary yellow 1 week in March 16, 1991 admitted. Drug abuse 3 months before admission. 3 weeks prior to hospitalization of a total of 25 mg chlorpromazine × 20, the largest amount of 25mg × 8. Physical examination: T36.2 ℃, BP10.7kPa, confusion, auto body position, skin sclera yellow dye. Tongue swallowing difficulties. Cardiopulmonary normal. Abdominal soft, 14.7 / liver right rib 0.5cm, Murphy’s sign negative, liver percussion pain. Spleen rib did not touch, abdominal tenderness, mobility voiced negative, normal bowel sounds. Laboratory tests: blood RBC5.23 × 10 ~ (12) / L, Hb154g / L, WBC1.31 × 10 ~ 9 / L, N0.93, PC10 / mm ~ 3. Liver function A / G = 4.3 / 3.2, total bilirubin 16mg%, one minute 4.6mg% of bilirubin, jaundice index 160U, S-GPT54U, HBsAg negative. B-report: no abnormal liver and gallbladder spleen.