论文部分内容阅读
患者 男,39岁。因乏力、纳差、黄疸半月,昏迷2天,于1994年8月13日急诊入院。半月前感乏力、纳差、恶心、呕吐,并逐渐出现皮肤巩膜黄染,未引起重视,症状逐渐加重,黄疸进行性加深,入院前1天出现烦躁不安,胡言乱语,继之出现昏迷后急诊入院。诊断“亚急性重型肝炎、肝昏迷”。既往无贫血史,有乙肝病史多年。 体检:T38.3℃,P 88次/分,BP 112/75mmHg(15/10kPa),意识恍惚,呼之能应,但答非所问。全身皮肤及巩膜中度黄染,无出血点及瘀斑。睑结膜及口唇苍白,双瞳孔等大等圆,对光反
Male patient, 39 years old. Due to fatigue, anorexia, jaundice half, coma for 2 days, in August 13, 1994 emergency admission. A half months ago, fatigue, anorexia, nausea, vomiting, and gradually scleral skin yellow dye, did not pay attention, the symptoms gradually aggravated, progressive jaundice, admitted to hospital one day before irritability, nonsense, followed by a coma Emergency admission. Diagnosis of “subacute severe hepatitis, hepatic coma”. No prior history of anemia, history of hepatitis B for many years. Physical examination: T38.3 ℃, P88 beats / min, BP112 / 75mmHg (15 / 10kPa), a sense of trance, call can, but the answer is non-questioning. The body’s skin and sclera moderate yellow dye, no bleeding spots and ecchymosis. Eyelid conjunctiva and pale lips, double pupil and other large round, against the light