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一、病例摘要: 男,39岁,工人。一月前上腹胀痛,恶心,低热,畏寒,烂便,疲乏,尿黄日渐加深。1980年11月入院,住院后无发热,皮肤巩膜中～深度黄染,胸前可见二粒蜘蛛痣,有“肝掌”征,心肺未发现异常,胸廓下可见静脉怒张,肝上界在右锁骨中线第五肋间,肋缘下3厘米处可触及,剑突下4厘米,肝质中等,边缘清楚,无压痛,未扪及胆囊,脾于左肋下2厘米处可及,质软。肝功能检查,总胆红质33毫克％,A/G为0.97/1,麝浊试验8单位,脑絮试验++,谷丙酶599单位,HBsAg阴性,转酞酶178单位,火箭电泳甲胎蛋白试验<50μg,硷性磷酸酶5.4单位。尿检查蛋白,红细胞++,颗粒管型0～2,胆红质+,尿
I. Case summary: Male, 39 years old, worker. A month ago, the upper abdominal pain, nausea, low fever, chills, rotten, fatigue, urine yellow gradually deepened. Admitted to hospital in November 1980, no fever after hospitalization, skin sclera ~ deep yellow stain, visible two spider axillary chest, a “liver palm” sign, no abnormalities found in the heart and lung, vein engorgement can be seen under the thorax, liver in the upper bound The fifth intercostal space of the right midclavicular line, 3 cm below the costal margin, 4 cm below the xiphoid process, medium hepatic mass, clear margin, no tenderness, no fistula, and gallbladder. The spleen is accessible at 2 cm below the left rib cage. soft. Liver function test, total 33% of bilirubin, A/G 0.97/1, turbidity test 8 units, brain test ++, valerase 599 units, HBsAg negative, transposase 178 units, rocket electrophoresis Fetal protein test <50μg, alkaline phosphatase 5.4 units. Urine examination protein, red blood cell ++, granule tube type 0-2, bilirubin +, urine