肝性脊髓病是慢性肝病的一种少见的并发症,现将笔者遇到的1例报告如下.病例报告男患,50岁.因扑翼样震颤于1986年6月24日入院.1972年患黄疸性肝炎,1981年因腹水诊断为肝硬化,1985年因大呕血做脾切除,同时行腹腔静脉分流术.入院时神志淡漠,但合作.巩膜及皮肤黄染,颈胸部有6只蜘蛛痣。肝肋下可及。腹水征(+)。双手有肝掌余均正常。化验:血尿常规及出、凝血时间正常,血小板95×10~9/L。肝功能:黄疸指数30u,麝浊14u,锌浊18u。碘反应(++++),GPT 正常,HBsAg(-)。血浆总蛋白50g/L, Hepatic myelopathy is a rare complication of chronic liver disease, now the author encountered in 1 case reported as follows .Material reports Male patients, 50 years old due to flapping-wing tremor in hospital on June 24, 1986. 1972 Suffering from jaundice hepatitis, cirrhosis of the liver was diagnosed as cirrhosis in 1981, splenectomy due to hematemesis in 1985, and celiac vein shunt at the same time .Conclusion: Confusion on admission, but yellow sclera and skin, 6 spider mole. Under the ribs can be accessed. Ascites sign (+). Both hands have a normal liver palms. Laboratory tests: hematuria routine and out, clotting time is normal, platelets 95 × 10 ~ 9 / L. Liver function: jaundice index 30u, musk turbidity 14u, zinc turbidity 18u. Iodine reaction (++++), GPT normal, HBsAg (-). Total plasma protein 50g / L,