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急性血行播散型结核病肝肿大并不少见,shayma谓约1/3病例伴有肝大。但伴严重肝肿大则不多见。本文报告1例国内文献少见的结核性巨肝,并结合文献对肝结核之肝大、诊断、治疗问题作一复习。患者男,21岁,湖南人,家住农村,2年前到广州做民工。因10多天来体温持续在38～40℃,午后明显,少许咳嗽,纳差、腹胀、气急、盗汗、间恶心、呕吐,近1个月消瘦明显而于1990年8月13日收住院。住院号11417。1989年在外院X光胸片诊断肺结核,不规则抗痨治疗2个月。入院PE:T39.6℃、P96次/分、R24次/分、BP16/12kPa,消瘦,巩膜可疑黄染,左腋窝触及2个花生大淋巴结、无粘连、无压痛,右下肺呼吸音减
Acute hematogenous disseminated hepatomegaly is not uncommon, shayma said about 1/3 of cases associated with hepatomegaly. However, with severe hepatomegaly are rare. This article reports a case of tuberculous giant liver rare in domestic literature, combined with the literature on liver cirrhosis, diagnosis, treatment of a review. Male patient, 21 years old, Hunan, who lives in rural areas, 2 years ago to do migrant workers in Guangzhou. Because of more than 10 days of body temperature continued at 38 ~ 40 ℃, afternoon obviously, a little cough, anorexia, bloating, shortness of breath, night sweats, nausea, vomiting, nearly 1 month wasting significantly in August 13, 1990 admitted to hospital. Hospital number 11417. In 1989 in the outer hospital X-ray diagnosis of tuberculosis, irregular anti-tuberculosis treatment for 2 months. Admission PE: T39.6 ℃, P96 beats / min, R24 beats / min, BP16 / 12kPa, weight loss, suspicious yellow sclera, left axillary palpable two peanut lymph nodes, no adhesions, no tenderness,