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患者男,47岁。患乙性肝炎9年,胸水5年,心包积液6个月。近1年来腹胀、乏力、纳差、反复呕血、鼻衄,进行性尿少,经保肝、利尿等治疗,效果欠佳入院。10岁曾患肾炎。入院查体:血压160/90m m H g(1m m H g=0.133kPa),界向左扩大,尖部可闻及吹风样收缩期杂音,剑突下可触及肝脏,质地硬
Male patient, 47 years old. Hepatitis B for 9 years, 5 years of pleural effusion, pericardial effusion 6 months. In the past year bloating, fatigue, anorexia, repeated hematemesis, epistaxis, progressive oliguria, the liver, diuretic and other treatment, the effect of poor admission. 10-year-old had nephritis. Admission examination: blood pressure 160/90 m Hg (1m Hg = 0.133kPa), bound to the left to expand, the tip can be heard and hair-like systolic murmur, palpable under the xiphoid liver, texture hard