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男性,64岁,最后一次入院为1986年2月17日,死亡于1987年3月16日。 患者于1961年感肝区不适,超声波提示肝肿大。1963年始牙龈经常出血,白细胞2.1～3.0×10~9/L,血小板28×10~9/L,白球倒置,SGPT 90单位。脾肿大。食道静脉曲张。1975年6月7日外出时,突感上肢发冷,继而全身无力,头晕目眩,全身冷汗,面色苍白,血压下降,诊断为内出血而入院。剖腹探查:腹腔内和血约3000 ml,肝左叶边缘有一直径3cm大小之结节,其表面有一破裂孔,出血。行肿块切除,但不彻底。病理诊断:肝细胞性肝癌。两年后,原病灶部位再次出血二次手术,因肿块与邻近
Male, 64 years old, last admitted to hospital on February 17, 1986, died on March 16, 1987. The patient felt hepatic discomfort in 1961 and hepatomegaly was indicated by ultrasound. In 1963, the gingiva often suffered from bleeding, leukocytes were 2.1 to 3.0 × 10~9/L, platelets were 28 × 10~9/L, white balls were inverted, and SGPT was 90 units. splenomegaly. Esophageal varices. When I was out on June 7, 1975, I suddenly felt chills in my upper extremities, followed by general weakness, dizziness, cold sweats, pale complexion, and low blood pressure. I was admitted to the hospital with a diagnosis of internal hemorrhage. Laparotomy: Intra-abdominal and blood volume is about 3000 ml. The left hepatic lobe has a 3 cm diameter nodule on the edge of the left hepatic surface. There is a rupture hole on the surface and bleeding. The lump was removed but not completely. Pathological diagnosis: hepatocellular carcinoma. Two years later, the original lesion re-bleeds twice after surgery due to mass and proximity