讨论一、关于诊断问题(一)这个病人主要表现为肝脾肿大,其他方面的变化均不明显。肝脾肿大在临床上属于常见的体征,涉及的范围甚广,只简单的诊断为肝硬化是不够确切和妥当的,应尽可能做出病因学的诊断。本病人应考虑以下疾病。1.寄生虫病:血吸虫病、黑热病、疟疾、华枝睾吸虫病等。 Discussion First, on the diagnosis (a) The main manifestations of this patient is hepatosplenomegaly, other changes are not obvious. Hepatosplenomegaly is a common clinical sign, involving a wide range, only a simple diagnosis of cirrhosis is not precise enough and appropriate, as far as possible to make the diagnosis of etiology. The patient should consider the following diseases. 1. Parasitic diseases: schistosomiasis, kala-azar, malaria, cercis sinensis and so on.