论文部分内容阅读
肝硬化腹水伴胸腔积液报导极多,但同时伴发肺不张少有报导,我科于85年1月收治一例重度肝硬化腹水伴右肺不张,现报导如下: 患者××,男,48岁,医生,住院号010005,原有肝硬化三年余,本次因纳差,乏力,腹胀进行性加重,尿量减少20天,于85年1月20日入我科。查:慢性重病容,右颈项见蜘蛛痣2枚,肝掌,胸腹壁静脉显露,蛙状腹,腹壁紧,无压痛,脾肋下2指,腹水征(+),腹围84cm,两下肢凹陷性浮肿。腹水为漏出液,但可见聚集成群的形似间皮瘤细胞。腹水培养(-)。肝功:GPT35u,TTT20u以上,ZnTT20u以上,HBsAg
Cirrhotic ascites with pleural effusion reported very much, but accompanied by atelectasis rarely reported in our department in January 1985 admitted to a case of severe cirrhosis with right atelectasis, are reported as follows: patients × ×, male , 48 years old, doctor, hospital number 010005, the original cirrhosis more than three years, this due to anorexia, fatigue, bloating progressive aggravating, urine output decreased 20 days, on January 20, 85 into my department. Check: chronic severe disease, see the right neck spider 2, liver palms, thoracic and abdominal wall vein revealed, frog belly, abdominal wall tight, no tenderness, spleen ribs 2 fingers, signs of ascites (+), abdominal circumference 84cm, Depression edema. Ascites fluid leakage, but can be seen gathered in groups like mesothelioma cells. Ascites culture (-). Liver function: GPT35u, TTT20u above, ZnTT20u above, HBsAg