肝硬变患者由于门脉高压,经手术或自然形成门体分流引起持久性双下肢痉挛性力弱以至瘫痪者,称“肝性脊髓病”,最早由Zieve(1960)报告2例。此后才有陆续报导,但病例不多。我院自1975年至1983年共收治6例较典型的“肝性脊髓病”。为引起同道重视,特摘要报告如下。例1:患者田某,男,48岁,工人。病历号6739359。1960年出现消化道症状,未确诊。1967年底呕血,脾大肋下4指,诊断为“肝硬变”。69年11月行脾切除及脾肾静脉吻合术。70年开始有时出现两手不自主颤抖,有时脑子一阵阵“糊涂”。71年8月因持续2周嗜睡,按“肝昏迷”治疗好转。72年 Patients with cirrhosis due to portal hypertension, surgery or natural portal shunt caused by persistent weakness in both lower extremities weakness and paralysis, called “hepatic myelopathy”, the earliest by Zieve (1960) reported in 2 cases. Since then have been reported, but not many cases. In our hospital from 1975 to 1983, a total of 6 cases were more typical of “hepatic myelopathy.” In order to arouse the respect of peers, the special summary report is as follows. Example 1: Patient Tianmou, male, 48 years old, worker. Medical record number 6739359. 1960 gastrointestinal symptoms, not diagnosed. Hemoptysis at the end of 1967, spleen ribs 4 fingers, diagnosed as “cirrhosis.” 69 years in November splenectomy and splenic renal vein anastomosis. 70 years sometimes appear involuntary shaking hands, and sometimes brain waves “confused.” 71 years in August for 2 weeks continued lethargy, press “hepatic coma” treatment improved. 72 years