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患者,男,51岁。因上消化道出血入院。患者有肝硬化病史5年,曾多次并发上消化道出血肝性脑病,患者反复住院史。无药物食物过敏史,否认有腰椎疾病史,无腰部外伤史,无心脑血管疾病史,入院查肝功能:白蛋白22.8g/L,球蛋白16.8g/L,丙氨酸氨基转移酶105U/L,总胆红素45.4μmol/L;血糖6.92mmol/L。乙肝五项大三阳,丙肝抗体均阴性,甲肝抗体、戊肝抗体均阴性。血常规:红细胞2.45×1012/L,血红蛋白70g/L,白细胞5.6×10~(12)/L,血小板20×10~9/L;大便潜血阳性;
Patient, male, 51 years old. Due to upper gastrointestinal bleeding admitted to hospital. Patients with cirrhosis history of 5 years, had multiple concurrent hepatic encephalopathy of gastrointestinal bleeding, patients repeatedly hospitalized. No drug allergy history, denied a history of lumbar disease, no history of lumbar injury, no history of cardiovascular disease, admitted to check liver function: albumin 22.8g / L, globulin 16.8g / L, alanine aminotransferase 105U / L, total bilirubin 45.4μmol / L; blood glucose 6.92mmol / L. Five hepatitis B five positive, hepatitis C antibodies were negative, hepatitis A antibodies, hepatitis E antibodies were negative. Blood: 2.45 × 1012 / L red blood cells, 70g / L hemoglobin, white blood cells 5.6 × 10-12 / L, platelets 20 × 10 ~ 9 / L;