患者女,77岁,昏睡,黄痘一个月。物理检查肝脏稍肿大。实验室检查:胆红素19.7mg,直接胆红素9.4mg,碱性磷酸酶372单位,乳酸脱氢酶830单位,甲胎蛋白强阳性。肝扫描图显示:肝脏轻度肿大,肝右叶有一个巨大占位性病变,肝左叶有多发占位性病变。两肺有弥漫的、明显的胶体摄取,其量和肝脏摄取量相等。还显示骨髓摄取增加。患者因全 Female patient, 77 years old, lethargic, a smallpox a month. Physical examination of the liver slightly swollen. Laboratory tests: bilirubin 19.7mg, direct bilirubin 9.4mg, alkaline phosphatase 372 units, lactate dehydrogenase 830 units, a-fetoprotein strongly positive. Liver scan showed: a slight enlargement of the liver, a huge mass lesion in the right lobe of the liver, and a mass-occupying lesion in the left lobe of the liver. Both lungs have a diffuse, significant colloid uptake, the amount and liver intake equal. Also showed increased bone marrow uptake. Patients due to the whole