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病史 患者,男性,61岁。既往有高血压病史10年,慢性肝炎病史6年。因腹胀、乏力1个月。加重伴尿少,双下肢浮肿7天,于1997年12月8日住院。人院时查体:体温36.8℃,脉博84次/分,血压18/12kPa。意识清,面色晦暗。颈部及前胸皮肤可见数个蜘蛛痣,肝掌(+)。巩膜无黄染,心肺无异常。腹部臌隆,腹壁静脉曲张,腹围98cm,肝脾触不清,肝区叩击痛(+),移动性浊音(+)。实验室检查:ALT100u,HBsAg(+);RBC3.4×10~(12)/L,Pt128×10~9/L,BTlmin,CT1.5min。B超示:肝硬变伴腹水。住院诊断:①病毒性肝炎(乙型)慢
Patient, male, 61 years old. Past history of hypertension 10 years, history of chronic hepatitis 6 years. Due to bloating, fatigue for 1 month. Increased with less urine, lower extremity edema for 7 days, December 8, 1997 hospitalization. People’s hospital examination: temperature 36.8 ℃, pulse Bo 84 / min, blood pressure 18 / 12kPa. Consciousness, looking dull. Neck and chest skin can be seen a few spider nevus, liver palms (+). Sclera no yellow dye, no abnormal heart and lung. Abdominal calyx, abdominal varicose veins, abdominal circumference 98cm, liver and spleen palpable, liver percussion pain (+), mobility dullness (+). Laboratory tests: ALT100u, HBsAg (+); RBC3.4 × 10 ~ (12) /L, Pt128 × 10 ~ 9/L, BTLmin, CT1.5min. B ultrasound showed: cirrhosis with ascites. Inpatient diagnosis: ① viral hepatitis (B) slow