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患者胡某,男30岁。因食欲减少37天,眼及皮肤黄染30天,于80年10月15日入院。起病全身乏力,上腹隐痛,有时呕吐,食量锐减,厌油,后出现眼黄、皮黄、原黄,病情逐日加重。体检:发育壮健,神清,全身皮肤及眼巩膜明显黄染,肺正常,心律齐,无杂音,但心率极为缓慢,只有36～42次/分,血压100/70毫米汞柱,腹软,肝右肋下可触及边缘、质软,脾未触及。心电图:心率40分/分,P—QRS—T波群均无异常,意见为“窦性心动过缓”。肝功能:黄疸指数120单位,TTT20单位,CCFT~(++++),SGPT346单位,血HBsAg(RPHA法)1:32。入院诊断:急性乙型肝炎合并窦性心动过缓。
Humou patient, male 30 years old. Due to loss of appetite for 37 days, eye and skin yellow dye 30 days, on October 15, 80 admitted. The onset of generalized weakness, abdominal pain, sometimes vomiting, food intake dropped sharply, tired of oil, after the emergence of yellow, yellow, yellow, the condition worsened day by day. Physical examination: vigorous development, clear, clear skin and sclera of the body was yellow, normal lungs, rhythm Qi, no noise, but the heart rate is very slow, only 36 to 42 beats / min, blood pressure 100/70 mm Hg, Liver right rib can reach the edge, soft, spleen not touched. ECG: heart rate 40 points / min, P-QRS-T wave group were normal, the opinion of “sinus bradycardia.” Liver function: jaundice index 120 units, TTT20 units, CCFT ~ (++++), SGPT346 units, blood HBsAg (RPHA method) 1:32. Admission diagnosis: Acute hepatitis B with sinus bradycardia.