患者,男,54岁。1988年因肝硬化腹水住院两次,1989年上消化道出血住院一次,1990年4月21日因饮食不慎又致黑便人院。查体:体温36.5℃,脉搏102次/分,血压13.4/9.2kPa。神志清,精神差,颈、前胸有多个蜘蛛痣,肝掌(+),巩膜轻度黄染。心肺正常,腹膨隆,腹壁静脉轻度曲张,肝不大,腹水征(+),下肢轻度 Patient, male, 54 years old. In 1988, hospitalized for cirrhosis of the liver ascites twice, in 1989, upper gastrointestinal bleeding hospitalization, April 21, 1990 due to diet inadvertently black to the hospital. Physical examination: body temperature 36.5 ℃, pulse 102 beats / min, blood pressure 13.4 / 9.2kPa. Consciousness, poor spirits, neck, chest with multiple spider nevus, liver palms (+), scleral mild yellow dye. Normal cardiopulmonary, abdominal bulging, mild abdominal varicose veins, liver is not large, signs of ascites (+), mild lower extremity