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一、本例的诊断: 本例为一临床上明确的晚期肝炎后肝硬化患者,诊断的主要依据为:(1)有慢性肝病史:1962年春出现乏力,厌油,巩膜发黄,被诊断为“急性黄疸型肝炎”,症状持续2个月后消失。1972年后有鼻衄,白细胞和血小板减低,一度发现血清谷丙转氨酶升高。(2)出现肝功能减退和门静脉高压的临床表现:可见到蜘蛛痣,男性乳房发育,皮肤、巩膜黄染。肝脏缩小,脾大,腹水。上消化道钡餐检查显示食道中下段静脉
First, the diagnosis of this case: This case is a clinically definite post-hepatitis cirrhosis patients, the diagnosis is mainly based on: (1) a history of chronic liver disease: the spring of 1962, fatigue, greasy, scleral yellow, was diagnosed For “acute jaundice hepatitis”, symptoms disappear after 2 months. After 1972 epistaxis, leukopenia and thrombocytopenia, once found elevated serum alanine aminotransferase. (2) clinical manifestations of liver dysfunction and portal hypertension: spider nevus can be seen, male breast development, skin, scleral yellow dye. Liver shrinking, splenomegaly, ascites. Upper gastrointestinal barium meal examination showed lower esophageal vein