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患者,男性,35岁,农民。纳差、乏力逐渐加重1年,左上腹肿块伴隐痛4个月。病后有低热、畏寒,体重下降。曾长期在外院以“肝硬化”治疗。15岁时患“肝炎”治愈。查体:T 37.5℃,面色灰暗黝黑,皮肤及双侧巩膜无黄染。全身浅表淋巴结不肿大。肝肋缘下未触及;脾肋缘下6cm,质硬,有触痛。B超检查:肝大小正常,肝闪光点增粗,回声增强,门静脉增粗。脾厚11.2cm,长径18.5cm,内部回声不均,脾上下极各见一实性肿块声影,大小分别为10.2cm×9.6cm,9.6cm×8.5cm;脾静脉增粗。胸透见左侧膈肌抬高,运动受限。化验乙肝表面抗原阳性,肝功正常;白细胞8.2×10~9/L,血红蛋白100g/L,白细胞分类:淋巴0.37,中性多核细胞0.63。
Patient, male, 35 years old, farmer. Anorexia, fatigue gradually increased 1 year, left upper abdomen mass with pain for 4 months. After the disease has fever, chills, weight loss. Long outside the hospital to “cirrhosis” treatment. 15 years old suffering from “hepatitis” cure. Examination: T 37.5 ℃, dark gray complexion, skin and bilateral sclera no yellow dye. Systemic superficial lymph nodes are not enlarged. Under the liver margin was not touched; spleen costal 6cm, hard, tenderness. B-ultrasound: normal liver size, liver flash thickening, echo enhancement, portal vein thickening. Spleen thickness 11.2cm, long diameter 18.5cm, uneven internal echo, the spleen up and down all see a solid mass shadow, the size of 10.2cm × 9.6cm, 9.6cm × 8.5cm; splenic vein thickening. Chest see the left diaphragm elevation, limited movement. Laboratory HBsAg positive, normal liver function; white blood cells 8.2 × 10 ~ 9 / L, hemoglobin 100g / L, white blood cell classification: Lymph 0.37, neutral multinucleated cells 0.63.