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1 病例简介患者男,59岁,主因“腹胀、乏力伴尿色加深2个月余”于2010年1月4日至本院就诊。现病史:患者2个月余前无明显诱因出现腹胀,明显乏力,无法胜任日常工作,伴尿色加深,呈浓茶色。无畏寒、寒战、发热表现,无恶性呕吐、反酸烧心,无黑便或白陶土样便,无关节肿痛或皮肤瘙痒,未予重视。入院前10天上述症状加重就诊于当地医院,行腹部B超提示肝脾肿大,怀疑肝硬化,为进一步诊治转至本院。查血常规:WBC 3.54×10~9/L,GR 29.4%,LY67.5%,Hb 114g/L,PLT 112×10~9/L;尿常规:尿胆原
1 case description Male patient, 59 years old, mainly due to “abdominal distension, fatigue with dark urine more than 2 months ” on January 4, 2010 to our hospital. Current medical history: patients 2 months ago no obvious incentive to appear abdominal distension, obvious fatigue, unable to perform routine work, with dark urine deepened, was dark brown. No chills, chills, fever performance, no malignant vomiting, acid reflux heartburn, no melatonin or kaolin-like stool, no joint swelling and pain or skin itching, no attention. Ten days before admission, the above symptoms were exacerbated at a local hospital. The abdomen was diagnosed with hepatobiliary and splenomegaly on B-ultrasound, and cirrhosis was suspected, and was transferred to our hospital for further diagnosis and treatment. Blood routine examination: WBC 3.54 × 10 ~ 9 / L, GR 29.4%, LY67.5%, Hb 114g / L, PLT 112 × 10 ~ 9 / L;