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病历摘要患者男,25岁,工人。上腹胀痛不适,反复呕吐,巩膜,全身皮肤黄染,酱油样尿、少尿5天,于1990年2月24日入院。患者于入院前4天,无明显诱因,感上腹胀痛不适,反复呕吐,呕吐物无特殊,给庆大霉素、硫糖铝、普鲁本辛口服,症状未缓解,次日下午出现巩膜及全身皮肤黄染,尿呈酱油样,但无畏寒,发热及腰痛。在某医院拟诊“黄疸型肝炎”,继之出现尿量减少。平时嗜酒(日50～100ml),近期有乙型肝炎接触史。
Patient summary Male, 25 years old, worker. Abdominal pain and discomfort, repeated vomiting, sclera, body skin yellow dye, soy sauce-like urine, oliguria 5 days, on February 24, 1990 admission. Patients in the first 4 days before admission, no obvious incentive to feel abdominal discomfort, vomiting, vomiting no special to gentamicin, sucralfate, oral administration of Prussian, symptoms did not alleviate the next afternoon Sclera and body skin yellow dye, urine was soy sauce-like, but no chills, fever and back pain. In a hospital to be diagnosed “jaundice hepatitis”, followed by decreased urine output. Usually alcohol (day 50 ~ 100ml), recent history of exposure to hepatitis B.