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患者,男,29岁,因发冷、发热,体温39℃口服红霉素,肌肉注射青霉素一周,体温持续不降,半月后于1985年11月收我院内科,住院后用氨苄青霉素24g3天,体温恢复正常,但腹部逐日膨隆。20年前患过肝炎。生于河北巨鹿,未到过外地,无特殊嗜好,家族中无类似病史。查体:体温37℃,发育正常,营养中等,皮肤粘膜无黄染、出血点,无蜘蛛痣,表浅淋巴结不大,心肺(一),腹部膨隆,肝肋下3cm,腹水征(+)。B 超:肝脾肿大,无占位性病变。实验室检查:白细胞总数5800/mm~3,中性67%,淋巴33%,血红蛋白12.5g%,血小板10万/mm~3,肝功能:黄疸指数4u,TTT8u,TFT(+++),
Patients, male, 29 years old, due to chills, fever, body temperature 39 ℃ oral erythromycin, intramuscular injection of penicillin a week, body temperature continued unabated, half a month later in November 1985 received our hospital medicine, hospitalized with ampicillin 24g3 days , Body temperature returned to normal, but the abdomen bulge day by day. He had hepatitis 20 years ago. Born in Hebei Julu, has not been to the field, no special hobbies, no similar family history. Examination: body temperature 37 ℃, normal development, moderate nutrition, skin and mucosa without yellow dye, bleeding points, no spider nevus, superficial lymph nodes is not large, cardiopulmonary (a), abdominal bulging, liver ribs 3cm, . B super: hepatosplenomegaly, no space-occupying lesions. Laboratory tests: total white blood cells 5800 / mm ~ 3, 67% of neutral, lymphatic 33%, hemoglobin 12.5g%, platelets 100,000 / mm ~ 3, liver function: jaundice index 4u, TTT8u, TFT