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女性、64岁,因胃脘胀痛伴便秘6—6天,于83年10月27日入我院中医科。素有胃痛史,(同年五月胃镜检查诊断为十二指肠炎)。入院后第三天出现黄疽,体检:巩膜皮肤明显黄染,无蜘蛛痣、出血点、肝掌、肝肋下未及,肝区叩痛(+),脾肋下未及,腹水征(一),双下肢无浮肿。化验肝功能絮浊试验正常,GPT148单位、黄痘指数35单位,凡登白试验双相,胆红质3.6mg,尿胆红质(+),尿胆元(一),血沉69mm/h。超声波(A)肝剑下2cm,肝区稀疏较密微波,胆囊液平
Female, 64 years old, due to stomach pain and pain with constipation 6-6 days, on October 27, 83 into our hospital Department of Traditional Chinese Medicine. Known history of stomach pain, (in the same year in May gastroscopy diagnosis of duodenal inflammation). Jaundice appeared on the third day after admission, physical examination: obvious scleral skin yellow stained, no spider nevus, bleeding point, liver palms, liver under the rib cage, percussion pain in the liver area (+), A), no swelling of both lower extremities. Test liver function flocculation test was normal, GPT148 units, yellow pox index 35 units, where Deng white test biphasic, bilirubin 3.6mg, urinary bilirubin (+), urinary bile (a), ESR 69mm / h. Ultrasound (A) liver sword 2cm, hepatic sparse dense microwave, gallbladder level