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血吸虫病合并HBV感染较为常见,但合并亚急性重症肝炎尚未见报道。我院于1990年11月收治1例,报告如下。患者,男,39岁,血吸虫疫区农民。于1990年9月因纳差、乏力、血吸虫皮试阳性在某县血防站按慢性早期血吸虫病治疗,服吡喹酮3天,服药前后未作肝功能及HBV标志检查。服药后,上述症状逐渐加重,并出现腹胀、尿少、眼黄。11月2日在县医院检查ALT89U,B超提示“腹水、脾大”,给予护肝、利尿及地塞米松治疗,病情继续恶化,11月4日进入昏迷,遂转本院。
Schistosomiasis with HBV infection is more common, but the merger of sub-acute severe hepatitis has not been reported. I hospital in November 1990 admitted to a case, the report is as follows. Patient, male, 39 years old, farmer infected with schistosomiasis. In 1990 September due to anorexia, fatigue, schistosome skin test positive in a county blood and anti-chronic schistosomiasis treatment according to chronic presumed praziquantel 3 days, before and after taking no liver function and HBV markers. After taking the above symptoms gradually increased, and bloating, oliguria, eye yellow. November 2 at the county hospital check ALT89U, B-ultrasound prompt “ascites, splenomegaly”, given liver protection, diuretic and dexamethasone treatment, the condition continued to worsen, November 4 into a coma, then transferred to the hospital.