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患者,女,16岁,住院号:161136。反复头晕乏力、心慌气促伴皮肤巩膜黄染3月入院。既往无类似发病史。查体:发育营养正常,巩膜、皮肤轻度黄染,心肺(一),腹平软,Murphy 氏征(一)。实验室检查:Hb:44g/L,WBC:3.1×10~9/L,分类正常,Pit106×10~9/L,网织红细胞:1.4%,黄疸指数:16u。凡登白试验直接反应(一),间接反应(+),总胆红素:1.6mg/dl,直接胆红素:0.15mg/dl,间接胆红素:1.45mg/dl。肝功能正常,血红蛋白电泳正
Patient, female, 16 years old, hospitalization number: 161136. Repeated dizziness, fatigue, palpitation with scleral skin yellow dye stained March hospitalization. No history of similar past. Physical examination: normal developmental nutrition, sclera, skin mild yellow dye, heart and lung (a), abdominal soft, Murphy’s sign (a). Laboratory tests: Hb: 44g / L, WBC: 3.1 × 10 ~ 9 / L, normal classification, Pit106 × 10 ~ 9 / L, reticulocyte: 1.4%, jaundice index: 16u. Vandenbill direct test reaction (a), indirect reaction (+), total bilirubin: 1.6mg / dl, direct bilirubin: 0.15mg / dl, indirect bilirubin: 1.45mg / dl. Normal liver function, positive hemoglobin electrophoresis