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Budd-Chiari 综合征合并肝癌患者,女,40岁。双下肢肿胀疼痛10年。1983年初无诱因双下肢肿痛,久站、剧烈活动后明显,平卧休息可缓解,直立后再现,期间未行任何治疗。1986年3月生育第二胎上述症状日趋加重并腹胀,当初在内蒙古医学院第二附院就诊,按“肝炎”治疗无效。1990年出现鼻衄、便血多次,且伴乏力、纳差,此时亦未做诊治,病情每况愈下,于1992年7月入内蒙古医院普外病房。既往健康,否认结核病史。体检:一般状况良好。体温36.8℃,脉率
Budd-Chiari syndrome with liver cancer, female, 40 years old. Lower extremity swelling and pain for 10 years. No incentive early 1983, both lower extremity swelling and pain, long standing, after the obvious activity, rest can be relieved, upright after the reign, without any treatment. In March 1986, the second childbirth the second child increased the above symptoms and bloating, had the second Affiliated Hospital of Inner Mongolia Medical College treatment, according to “hepatitis” treatment ineffective. In 1990 there epistaxis, hematochezia many times, and with fatigue, anorexia, at this time did not do diagnosis and treatment, the condition deteriorated, in July 1992 into the Inner Mongolia General Hospital ward. Past health, denied a history of tuberculosis. Physical examination: General condition is good. Body temperature 36.8 ℃, pulse rate