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患者,男性,60岁。因患肺炎服用复方新诺明1.0g2/日速服三天。皮肤粘膜出现黄染。查体:皮肤巩膜中度黄染,肝肋下3cm,剑突下2cm,肝功能化验:谷丙转氨酶460单位,黄疸指数26单位,凡登白直接反应阳性,表面抗原阴性。其它化验和肝脏超声波检查未见异常。入院后停服复方新诺明。给予保肝消炎利胆药物,三周后黄疸消退,肝功能恢复正常。数月后患者因腹泻服用复方新诺明1.0g每日二次出现皮膜巩膜黄
Patient, male, 60 years old. Take cotrimoxazole 1.0g2 for 3 days due to pneumonia. Skin and mucous membranes appear yellow dye. Physical examination: skin sclera moderate yellow dye, liver ribs 3cm, xiphoid 2cm, liver function tests: alanine aminotransferase 460 units, jaundice index 26 units, where Deng Deng white direct reaction positive, negative surface antigen. Other tests and liver ultrasound showed no abnormalities. Stop taking compound cotinine after admission. Give liver protection anti-inflammatory gallbladder drugs, jaundice after three weeks subsided, liver function returned to normal. Patients after a few months due to diarrhea Cotrimoxazole 1.0g twice daily appeared sclera yellow membrane