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笔者于1986年3月遇见使用聚肌胞(poly I:C)引起过敏性休克1例,现报告如下,供同道参考。患者,男,39岁。因乏力、纳差,尿黄20d、鼻衄10d于1986年1月7日住院。患者于8mo前体检发现乙型肝炎表面抗原(HBsAg)阳性。入院后体验:神志清楚,慢性病容,皮肤、巩膜明显黄染,肝掌(+),蜘蛛痣(+),心肺(-),腹软,肝未扪及,脾肋下触及;腹水征(+)。实验室检查:黄疸指数(H)35-100U、ZnTT20U、SGPT200U,甲胎蛋白(AFP)20-400ng/ml,白蛋白3.2％,球蛋白3.8％。蛋白电泳γ-球蛋白25％,HBsAg(+),抗-HBc(+)。肝活检诊断:慢性活动型肝炎伴肝内
I met in March 1986 using poly I (C) induced anaphylactic shock in 1 case, are reported as follows, for fellow reference. Patient, male, 39 years old. Due to fatigue, anorexia, urinary yellow 20d, epistaxis 10d January 7, 1986 hospitalization. He was tested positive for hepatitis B surface antigen (HBsAg) 8 months before the test. Admission experience: conscious, chronic disease, skin, sclera obvious yellow dye, liver palms (+), spider nevus (+), cardiopulmonary (-), abdominal soft, +). Laboratory tests: jaundice index (H) 35-100U, ZnTT20U, SGPT200U, AFP (AFP) 20-400ng / ml, albumin 3.2%, globulin 3.8%. Protein electrophoresis gamma-globulin 25%, HBsAg (+), anti-HBc (+). Liver biopsy diagnosis: chronic active hepatitis with liver