一、病历简介患者男,52岁,入院前两个月无明显诱因出现乏力,食欲减退伴恶心、气短,稍活动即加重,一周前鼻衄,一次量不多,黑便一次/日,未诊治。三天前出现发热T38℃自服感冒药后热退,无寒战、抽搐、意识丧失等,于2002年6月20日由我院门诊B超提示“肝脾大、脂肪肝”收入院。诊断: First, the medical history Brief introduction Patient male, 52 years old, two months before admission no obvious incentive to appear fatigue, loss of appetite with nausea, shortness of breath, a little activity that aggravate, a week ago, epistaxis, a small amount, black once / day, Diagnosis and treatment. Three days ago fever T38 ℃ self-service cold medicine fever, no chills, convulsions, loss of consciousness, on June 20, 2002 by our hospital B-tips “liver and spleen, fatty liver” income hospital. diagnosis: