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患者,女性,28岁。以乏力、纳差、尿黄2周,神志恍惚1天,闭经2个月为主诉,于87年4月15日入院。患者2周前出现恶心、乏力、纳差,尿稍黄,认为是妊娠反应,未引起注意。2天后,尿黄逐渐加深,即到本市某医院求治,诊断为急性黄疸型肝炎,住院治疗。病情不见好转,黄疸急剧加重,神志恍惚后转入我院。体检:神志恍惚,皮肤、巩膜重度黄染,躯干、四肢皮下散在有较多的出血点。心肺(一),肝脾未触及,
Patient, female, 28 years old. To fatigue, anorexia, urinary yellow 2 weeks, trance 1 day, amenorrhea for 2 months as the main complaint, on April 15, 1987 admission. Patients 2 weeks ago nausea, fatigue, anorexia, urine slightly yellow, that pregnancy reaction, did not attract attention. 2 days later, urinary yellow gradually deepened, that is, to a city hospital for treatment, diagnosis of acute jaundice hepatitis, hospitalization. The condition did not improve, jaundice increased dramatically, after trance transferred to our hospital. Physical examination: trance, skin, sclera severe yellow dye, trunk, limbs scattered in more bleeding points. Heart and lung (a), liver and spleen not touched,