患者,男,27岁。因无任何诱因感到疲乏无力,消瘦,腹胀4月余入院。起病后食欲减退,尿量少,大便次数增多,5～6次/日,呈糊状,无脓血,量少。体重逐渐下降,体温正常。 查体:慢性病容,一般情况差,皮肤、巩膜无黄染,未见出血点、血管痣及肝掌,全身残表淋巴结不大,心、肺无异常,肝上界位右锁骨中线第4肋间,下缘位于右助下1.5cm,剑突下4cm,轻压痛,未扪到结节,腹部膨隆,腹水征明显,钡餐示食管下段静脉 Patient, male, 27 years old. Because there is no incentive to feel tired, weight loss, abdominal distension more than 4 months admitted to hospital. Loss of appetite after onset, less urine output, stool frequency increased, 5 to 6 times / day, was pasty, no seminal fluid, less. Weight gradually decreased, body temperature normal. Physical examination: chronic disease, the general situation is poor, the skin, sclera no yellow dye, no bleeding points, blood vessels nevus and liver palms, small residual body lymph node, heart, lung no abnormalities, Under the intercostal, the lower edge is located in the right aid 1.5cm, xiphoid 4cm, light tenderness, no palpable nodules, bulging abdomen, ascites sign, barium meal showed lower esophageal vein