2019肝病临床思维训练营病例合集

目 录
豫冀晋蒙区域赛郑州站病例 1
反复发热伴肝功能异常 ........................................................................................................................1
反复皮肤瘙痒、肝功能异常查因........................................................................................10 苏皖鲁区域赛无锡站病例
17
黄疸原因待查 ................................................................................................................................................17
黄疸、肝大查因 ..........................................................................................................................................27 京津黑吉辽区域赛天津站病例
34
间断腹痛
5年，再发伴眼黄、尿黄
10天查因 ..............................................34
血小板减少
5个月，肝功能异常
4个月，寻找真相 ............................42 陕甘青宁新区域赛兰州站病例
52
不明原因肝功能异常的诊治 ......................................................................................................52
肝损伤伴发热查因 ..................................................................................................................................58 云贵渝川藏区域赛昆明站病例
68
黄疸、肝功能异常查因 ....................................................................................................................68
肝功能异常原因待查 ............................................................................................................................77
2
2019
肝病临床思维训练营病例合集
湘鄂赣区域赛武汉站病例 84
间断发热、咳嗽伴皮肤巩膜黄染待查 ........................................................................84
上腹部疼痛不适查因 ............................................................................................................................96
粤桂琼区域赛南宁站病例 102
肝功能异常查因 ......................................................................................................................................102
腹胀、水肿查因 ......................................................................................................................................111
浙沪闽区域赛杭州站病例 119
扑朔迷离的肝衰竭 ..............................................................................................................................119
反复乏力7年余查因 ......................................................................................................................127
西区半决赛成都站病例 134
反复右上腹痛10年查因 ............................................................................................................134
不明原因肝硬化待查 ........................................................................................................................143
南区半决赛广州站病例 151
反复多浆膜腔积液 ..............................................................................................................................151
脾大原因待查 ............................................................................................................................................161
东区半决赛上海站病例 169
不明原因门脉高压查因 ................................................................................................................169
肝功能异常真相引发的思考 ..................................................................................................178
北区半决赛北京站病例 193
肝功能异常合并间断发热查因 ..........................................................................................1932
2019
肝病临床思维训练营病例合集
湘鄂赣区域赛武汉站病例 84
间断发热、咳嗽伴皮肤巩膜黄染待查 ........................................................................84
上腹部疼痛不适查因 ............................................................................................................................96
粤桂琼区域赛南宁站病例 102
肝功能异常查因 ......................................................................................................................................102
腹胀、水肿查因 ......................................................................................................................................111
浙沪闽区域赛杭州站病例 119
扑朔迷离的肝衰竭 ..............................................................................................................................119
反复乏力7年余查因 ......................................................................................................................127
西区半决赛成都站病例 134
反复右上腹痛10年查因 ............................................................................................................134
不明原因肝硬化待查 ........................................................................................................................143
南区半决赛广州站病例 151
反复多浆膜腔积液 ..............................................................................................................................151
脾大原因待查 ............................................................................................................................................161
东区半决赛上海站病例 169
不明原因门脉高压查因 ................................................................................................................169
肝功能异常真相引发的思考 ..................................................................................................178
北区半决赛北京站病例 193
肝功能异常合并间断发热查因 ..........................................................................................193