一、临床资料患者男性 ,2 9岁 ,运 - 5飞行员 ,总飞行时间 70 0 h。 2 0 0 1年 3月入院。既往无嗜酒、肝炎、结核等病史。 3个月前患者无明确诱因感乏力、纳差、尿黄 ,当地医院查血丙氨酸转氨酶 45 6 U / L ,天门冬氨酸转氨酶 2 86 U / L ,总胆红素2 7.8μmol/ L ,直接胆红素 8 First, the clinical data Patient male, 29 years old, Yun - 5 pilots, the total flight time 70 0 h. 2001 admission in March 2001. Past no alcoholism, hepatitis, tuberculosis and other medical history. 3 months ago, the patient had no definite incentive to feel fatigue, anorexia, urinary yellow, local hospital check blood alanine aminotransferase 456U / L, aspartate aminotransferase 2 86U / L, total bilirubin 2 7.8μmol / L, direct bilirubin 8