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1.临床资料 32例中男23例,女9例。年龄3～61岁,平均29.5岁。查体均无黄疸,肝肿大4例,脾大2例。32例中单项GPT升高27例,其升高幅度为70～235u(正常值<40u),平均113.4u。高于正常值2.5倍者(>100u)21例,高于正常值3.5倍者(>140u)8例。反映白蛋白的量和质的絮状试验有轻度改变者4例。以上病例的HBsAg皆阴性。其中11例查乙肝“两对半”均无异常。本组病例入院后经详细查体和追问病史及结合辅助检查,一般在3～5日内得到确诊和正确治疗。只有1例在11天后才确诊。全部病例均痊愈出院。 2.误诊疾病分类 (1)病人有发热和腹痛及肥达氏反应阳性而定诊为伤寒或副伤寒共5例。 (2)便或12指肠引流液找到肝吸虫而定诊为肝
1. Clinical data 32 cases of 23 males and 9 females. Age 3 to 61 years old, average 29.5 years old. No physical examination jaundice, hepatomegaly in 4 cases, 2 cases of splenomegaly. In 32 cases, the single GPT was elevated in 27 cases, with an increase of 70 ~ 235u (normal <40u) with an average of 113.4u. 21 cases were higher than 2.5 times normal (> 100u) and 8 cases were higher than 3.5 times normal (> 140u). Reflect the amount of albumin and quality of floc test with mild changes in 4 cases. The above cases of HBsAg are negative. Eleven cases of hepatitis B “two and a half” no abnormalities. This group of patients admitted to hospital after detailed examination and medical history and combined with the auxiliary examination, usually within 3 to 5 days to be diagnosed and correct treatment. Only one patient was diagnosed after 11 days. All cases were cured and discharged. Misdiagnosed disease classification (1) the patient has fever and abdominal pain and Widal reaction positive diagnosis of typhoid or paratyphoid a total of 5 cases. (2) or 12 of the drainage of the fingers to find the liver flu and liver diagnosis