患者男,48岁。因反复腹胀、乏力、呕血、黑便7年,诊断为门脉性肝硬化腹水并上消化道出血先后15次住院治疗。近10天来腹胀、乏力加重,排黑便,故再次入院。查体:体温36.5℃,脉搏84次,呼吸20次,血压16/11kPa。慢性病容,巩膜轻度黄染,双肺呼吸音低,未闻及干湿性罗音。心率84次/分,律齐,未闻及病理性杂音。腹胀呈蛙 Male patient, 48 years old. Due to repeated abdominal distension, fatigue, hematemesis, melena 7 years, diagnosed as portal cirrhosis and upper gastrointestinal bleeding has 15 hospitalizations. Bloating in the past 10 days, increased fatigue, row black will, so again hospitalized. Physical examination: body temperature 36.5 ℃, pulse 84 times, breathing 20 times, blood pressure 16 / 11kPa. Chronic disease, scleral mild yellow dye, lung breath sounds low, no smell and wet and dry rales. Heart rate 84 beats / min, law Qi, no smell and pathological murmur. Abdominal distention was frog