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一、胆结石误诊为肝炎男,24岁,因黄疸,上腹不适,谷丙转氨酶240单位,脑絮+,尿三胆阳性收入传染病区,患者发病后食欲一般,右上腹不适,无绞痛和发热,肝脾不大,经休息和保肝治疗半月后黄疸消退,肝功能正常,一年后以同样症状入院,诊断慢性肝炎,胃钡餐检查无异常发现。住院过程中曾出现一次右上腹绞痛(于夜间入眠时),再作X线胆囊区平片未见阳性结石,经外科剖腹探查发现胆囊结石。体会:此例二次均误诊为肝炎,其主要原
First, the gallstone was misdiagnosed as hepatitis male, 24 years old, due to jaundice, abdominal discomfort, alanine aminotransferase 240 units, brain Xu +, urinary triple-positive areas of infectious diseases, the onset of appetite in general, right upper quadrant discomfort, Pain and fever, liver and spleen is not large, by resting and liver treatment half jaundice subsided subsided, normal liver function, a year later with the same symptoms of admission, diagnosis of chronic hepatitis, gastric barium meal examination no abnormal findings. In the course of hospitalization, there was a right upper quadrant angina (during nighttime sleep), and then there was no positive stone in the X-ray gallbladder area. Gallbladder stones were found by exploratory laparotomy. Experience: This case were misdiagnosed as hepatitis twice, the main original