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患者绳××,女,41岁,农民。因右上腹阵发性绞痛,伴寒战、高烧、黄疸4天,于1982年4月7日住房山县第一医院。体检右上腹可触及5×4厘米肿物,表面光滑,有压痛。莫非氏征(+)。入院诊断:胆石症合併胆道感染。入院后给予庆大霉素治疗(以前从未用过庆大霉素),每日16万单位,肌注,同时给予对症处理,两天后右上腹痛明显好转。4月10日晚出现精神症状,喃喃自语,语无伦次,多动,有错视。4月11日考虑有“肝性脑病”之可能,静点28.75％谷氨酸钠80毫升。当日化验,GPT正常,TTT7单位,
Patient rope × ×, female, 41 years old, farmer. Due to paroxysmal right upper quadrant angina, chills, high fever, jaundice 4 days, on April 7, 1982 Housing Hill County First Hospital. Physical examination of the right upper quadrant palpable 5 × 4 cm tumor, smooth surface, tenderness. Could it be levy (+). Admission diagnosis: cholelithiasis with biliary tract infection. After admission gentamicin treatment (never used gentamicin), daily 160,000 units, intramuscular injection, symptomatic treatment given at the same time, two days after the right upper quadrant pain was significantly improved. On the evening of April 10, there appeared mental symptoms, murmuring, incoherent, hyperactivity, mistaken vision. April 11 consider the possibility of “hepatic encephalopathy”, calm point 28.75% sodium glutamate 80 ml. The day of testing, GPT normal, TTT7 units,