论文部分内容阅读
食桔子过量引起高胡萝素血症文献早有记载,但临床上尚属少见,如何鉴别诊断“黄疸”,笔者报告一例并复习文献如下: 患者女性,35岁,山西藉,1989年10月赴桂林市疗养期间出现食欲不振、恶心,并发现皮肤发黄怀疑“黄疸性肝炎”就诊,既往无肝病史,近期无服黄色药物史,查体发现双侧手掌、足掌明显黄染,巩模不黄染,肝脾不肿大。肝胆B超检查正常。查血清黄疸指数18单位,一分钟胆红素正常,TTT、TFT及SGPT正常,尿三胆及粪便正常。追问病史,患者近期内食桔子每日6～8个,已连服一周。医嘱停食桔子,二周后随访,结果一切正常,最后诊断高胡萝素血症。
Over-consumption of orange caused by hyper-carotenoid literature has long been documented, but clinically rare, how to identify the diagnosis of “jaundice,” the author reports a review and review of the literature are as follows: Female patients, 35 years old, Shanxi, October 1989 During the recuperation in Guilin city appetite, nausea, and found that the skin yellow suspected “jaundice hepatitis” treatment, past no history of liver disease, recent history of yellow drug-free, physical examination showed bilateral palms, palms obvious yellow dye, Gong Mold is not yellow dye, liver and spleen not swollen. Hepatobiliary B-ultrasound was normal. Check serum jaundice index 18 units, one minute bilirubin normal, TTT, TFT and SGPT normal, urine and gall bladder and normal stool. Asked the medical history, the patient recently eaten oranges 6 to 8 daily, has been serving a week. The doctor ordered eating oranges, followed up two weeks later, the results of all normal, the final diagnosis of hyperchloremicmia.