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病毒性肝炎可合并溶血,发生率为2.5～81.6%,因溶血的临床表现常与黄疸型肝炎混淆,故多被漏诊,轻、中度溶血者尤然,国内报告的病例均系黄疸型肝炎合并重度溶血。本例为急性无黄疸型肝炎合并轻度溶血,报告如下。患者女,28岁,住院号25790,固食欲不振、乏力3个月于1981年1月3日入院。起病时厌油、微热,伴上腹胀痛及恶心、呕吐、大便稀,除服胃舒平、维生素U 以及中药外,无其它服药史。有肝炎接触史。过去无黄疸、贫血史。体检:皮肤无黄染。心肺正常。上腹轻压痛,肝肋下1.5
Hepatitis B can be combined with hemolysis, the incidence was 2.5 ~ 81.6%, due to the clinical manifestations of hemolysis and jaundice hepatitis often confused, so many were missed, especially mild to moderate hemolytic, the domestic reported cases were jaundice hepatitis Merged with severe hemolysis. This case of acute jaundice hepatitis with mild hemolysis, the report is as follows. Female patient, 28 years old, hospital number 25790, solid food and loss of appetite, fatigue for 3 months in January 3, 1981 admission. When the onset of tired of oil, fever, accompanied by abdominal distension pain and nausea, vomiting, loose stool, in addition to stomach Shu-ping, vitamin U and traditional Chinese medicine, no other medication history. Hepatitis exposure history. No jaundice in the past, history of anemia. Physical examination: the skin without yellow dye. Cardiopulmonary normal. Abdomen tenderness, liver ribs 1.5