论文部分内容阅读
患者女,2岁8个月,以“发热13天,皮肤黄染10天”为主诉入院,最高体温39.5℃,流涕,无抽搐,无咳嗽,予抗炎治疗后,体温较前下降,然皮肤黄染加重,大便灰白色,小便色黄。体检:右腹部可扪及一质软包块,肝脏肋缘下触及,肋下3 cm,Murphy征阴性。实验室检查:白细胞(WBC)25.4×109/L,谷丙转氨酶(ALT)75 U/L,谷草转氨酶(AST)54 U/L,谷氨酰转肽酶(GGT)570 U/L,总胆红素(TBIL)24μmol/L,结合胆红素(BC)5μmol/L,未结合胆红素(BU)19μmol/L,碱性磷
The patient was female, aged 2 months and 8 months, admitted to hospital with a fever of 13 days and a skin yellow dye of 10 days. The maximum temperature was 39.5 ° C. After the runny nose had no convulsions and no cough, Decline, but the yellowing of the skin aggravated, gray stool, urine yellow color. Physical examination: the right abdomen palpable mass of soft mass, under the costal margin of the ribs, ribs 3 cm, Murphy sign negative. Laboratory tests showed that WBC was 25.4 × 109 / L, alanine aminotransferase (ALT) was 75 U / L, AST was 54 U / L, glutamyl transpeptidase (GGT) was 570 U / Bilirubin (TBIL) 24μmol / L, Bilirubin (BC) 5μmol / L, Unconjugated Bilirubin (BU) 19μmol / L,