Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): I found that the color of urine became darker in early April of this year, and on the 25th, I found that the sclera was yellow, and the skin on my body was a little yellow. My appetite was reduced a bit, I was tired, my body did not itch, and my body did not have any symptoms of pain or discomfort, so I went to the nearest hospital to be hospitalized and treated. I did a lot of related examinations in the hospital. The results of color Doppler ultrasound: the gallbladder wall is rough and other normal. The test result is indirect bilirubin 62,7 direct bilirubin 84.9-total bilirubin 147.6 aspartate transferase 708 alanine base transferase 915 urine analysis white blood cell 158,00 bilirubin 2+. Immunization 8 items: hepatitis E test + hepatitis A 1gm: hepatitis B surface antibody is weakly positive. Alpha-fetoprotein 10.96 Carbohydrate antigen 19-9 224.00 Protein cytokeratin 19 fragment 2.67 Other normal. Do abdomen-enhanced NMR: It suggests that cholecystitis, intrahepatic capillitis, lymphatic effusion, and virus are all negative. Check liver function results one week later:
Albumin 33.7 White ball ratio: 0.97 Bilirubin 117.1 Direct bilirubin 67.5 Indirect bilirubin 49.6 Aspartate transferase 205 Alanine transferase 274
Hospital treatment: used compound glycyrrhizic acid injection and adenosylmethionine succinate injection.
Discharge prescribing medication: oral polyene phosphatidylcholine capsules, oral ursodeoxycholic acid capsules
Question date:2021-05-15
Patient information:< /b>Age: 62 years old, Gender: Female
Problem analysis: From the perspective of symptoms, the current situation should be mainly liver protection treatment, that is, the control of transaminase, and the transaminase After the control is at a normal level, the drug can be temporarily stopped. See if it will rise later.
Guidelines: There is currently no definitive diagnosis indicating the cause of abnormal liver function. Generally, this kind of situation is mostly caused by drugs and must be avoided as much as possible. If it drops to normal, transaminase will still increase for no reason. Then there must be a systematic inspection.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection