论文部分内容阅读
患者,男性,26岁。因腹胀、气短1月、发热1周,于1992年10月26日以“肝硬化失代偿、肝性胸水”入院。无盗汗及消瘦。既往有乙肝病史,否认结核病史。体检:T 39℃,R 28min~(-1),BP 14.0/8.0kPa。神清,精神差,发育正常。右侧胸腔积液征象,心脏无异常,腹部高度膨隆,肝未触及,脾肋下5 cm,腹水征(++++)。实验室检查:Hb 114g/L,WBC 14.0×10~9/L(N 0.88,L 0.12);HBsAg 1:256,HBeAg(+),抗HBc(+);A/G=28/35。B超提示胸腔积液(右),大量腹水,肝硬化征象。Χ线提示右侧胸腔积液。PPD(-),痰抗酸杆菌(-);多次抽胸腹水,胸水色黄浊,含大量
Patient, male, 26 years old. Due to bloating, shortness of breath in January, fever for 1 week, on October 26, 1992 to “decompensate cirrhosis, hepatic pleural effusion” admission. No night sweats and weight loss. Past history of hepatitis B, denied a history of tuberculosis. Physical examination: T 39 ℃, R 28min ~ (-1), BP 14.0 / 8.0kPa. Clear, poor spirit, normal development. Signs of right pleural effusion, no abnormal heart, bulging abdomen, unexplained liver, 5 cm below splenic ribs, and signs of ascites (++++). Laboratory tests: Hb 114 g / L, WBC 14.0 × 10 9 / L (N 0.88, L 0.12); HBsAg 1: 256, HBeAg (+), anti HBc (+); A / G = 28/35. B-Tip pleural effusion (right), a large number of ascites, cirrhosis signs. X-line tips on the right pleural effusion. PPD (-), sputum acid-fast bacilli (-); repeatedly pumping ascites, pleural effusion yellow turbid, containing a large