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作者收集了既往收治的病毒性肝炎441例,其中属误诊14例,误诊情况见附表:典型病例介绍例1:癌性肝外梗阻误诊为黄疸型肝炎。患者男,66岁,1981年2月因“肝区”痛,食欲减退,乏力一个月就诊。肝肋下3.5cm,肝功能正常,无黄疸。以中药治疗,2个月症状减轻。4月5日酒后又感中上腹疼痛,一周后发现黄疸,黄疸出现后腹痛消失。血清胆红素60μmol/L,ALT200u 以上,按急性黄疸型肝炎收住院辅以激素治疗20天后,黄疸明显减退,血
The authors collected 441 cases of past treatment of viral hepatitis, of which 14 cases were misdiagnosed, misdiagnosed situation, see the attached table: Typical Case Introduction Example 1: Misdiagnosed as jaundice hepatitis with malignant extrahepatic obstruction. Male, 66 years old, February 1981 due to “liver” pain, loss of appetite, fatigue a month treatment. Liver ribs 3.5cm, normal liver function, no jaundice. Chinese medicine treatment, 2 months to reduce the symptoms. On April 5, feeling of pain in the upper abdomen was felt again. Jaundice was found after one week and the abdominal pain disappeared after the jaundice appeared. Serum bilirubin 60μmol / L, ALT200u above, according to acute jaundice hepatitis received hospital with hormone therapy 20 days later, jaundice significantly decreased, blood