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患者,男性,42岁。主诉乏力、纳差,厌油、尿黄,于入院前3天来院门诊。患者神志清醒,全身明显黄染,无蜘蛛痣。肝在肋下2cm,无明显压痛,脾未触及。肝功检查:黄疸指数81U,谷丙转氨酶150U,麝浊麝絮8U,凡登白呈双相反应,HBsAg(+)。即收入传染科按常规给予能量合剂,保肝药及对症处理。入院后病情急剧恶化,1周内出现极度乏力,烦躁不安、
Patient, male, 42 years old. The main complaint of fatigue, anorexia, tired of oil, urine yellow, 3 days before admission to hospital. Conscious patients, the body was obviously yellow dye, no spider nevus. Liver in the ribs 2cm, no significant tenderness, spleen not touched. Liver function tests: jaundice index 81U, alanine aminotransferase 150U, musk deer Xu Xu 8U, where Deng white was biphasic response, HBsAg (+). That is, the Department of Infectious Diseases should be given energy mixture, liver protection medicine and symptomatic treatment routinely. The condition deteriorated sharply after admission, with extremely weakness and irritability within 1 week,