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病例2-2017:一名患急性肝衰竭的18岁女性
Case 2-2017 — An 18-Year-Old Woman with Acute Liver Failure


Kristian R. Olson ... 其他 • 2017.01.19

病历陈述


Carolyn A. Boscia医师(内科和儿科):一名18岁女性在第一个孩子出生后11周由于急性肝衰竭至本院急诊科就诊。

直至此次就诊前1周,患者一直体健。当时,她流涕、咽痛和咳嗽。在患病第四日,患者因咳嗽加重、哮鸣和呼吸困难至一急诊诊所就诊。她被诊断为支气管炎,医师给她开了异丙嗪-右美沙芬糖浆和5日疗程的口服阿奇霉素。之后患者回家。

患者在接下来3日内出现腹部不适、恶心、呕吐、腹泻和阴道出血。患者还注意到自己的皮肤和眼睛进行性黄染。患者此次就诊当日早晨醒来时感到头晕目眩。下床站起时发生了晕厥;摔倒后下颌发生撕裂伤。她的男友打电话给急救医疗服务中心(EMS),一个急救队被派往患者家。





作者信息

Kristian R. Olson, M.D., Amir H. Davarpanah, M.D., Esperance A. Schaefer, M.D., M.P.H., Nahel Elias, M.D., and Joseph Misdraji, M.D.
From the Departments of Medicine (K.R.O., E.A.S.), Pediatrics (K.R.O.), Radiology (A.H.D.), Surgery (N.E.), and Pathology (J.M.), Massachusetts General Hospital, and the Departments of Medicine (K.R.O., E.A.S.), Pediatrics (K.R.O.), Radiology (A.H.D.), Surgery (N.E.), and Pathology (J.M.), Harvard Medical School — both in Boston.

 

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