患者,男性,55岁。外院B超曾提示“肝硬化”,呼吸困难,夜间不能平卧伴尿量减少近一个月。既往健康。入院检查,神志清,精神差,慢性病容,半卧位。口唇无紫绀,颈软,颈静脉怒张,颈动脉无异常搏动,气管居中,双侧胸廓对称,呼吸深长快,双肺叩诊浊音,两肺底可闻及少许细小水泡音及哮鸣音,无 Patient, male, 55 years old. B-outside the hospital had prompted “cirrhosis”, breathing difficulties, night can not be supine with urine output reduced by nearly a month. Past health. Admission examination, consciousness, mental retardation, chronic illness, semi-recumbent position. No cyanosis of the lips, neck soft, jugular vein engorgement, carotid artery without abnormal beating, tracheal center, bilateral thoracic symmetry, long breathing fast, dull percussion dullness, two lungs can be heard and a small amount of small blisters and wheeze sounds, no