患者女性,38岁.因面色逐渐苍白5个月,上腹部隐痛2个月,于1991年12月10日入院.原有血吸虫病史,曾用锑剂治疗.体检:T37.2℃,P110次/分,R20次/分,BP14/9kPa.重度贫血貌,巩膜无黄染,全身浅表淋巴结未扪及,心肺听诊正常、腹软,上腹部饱满感,肝助下触及,剑突下约4cm,质偏硬无压痛.脾肋下约4cm,质中无压痛.无腹壁静脉曲张,移动性浊音(-).实验室检查及其他辅助检查:Hb45g/L.WBC8.2×10~9/L,N0.72,L0.25,E0.03,血小板数80×10~9/肝肾功能正常范围,大便OB弱阳性.B超诊为晚期血吸虫性肝病,巨脾Ⅱ级.血吸虫胶乳凝集试验(-)胃镜检查:胃幽门孔圆形,整齐,收缩尚好,少量反流,胃窦小弯连及 The patient was 38 years old. She became pale for 5 months and her upper abdomen had pain for 2 months. She was admitted to the hospital on December 10, 1991. The history of schistosomiasis was previously treated with tincture. Physical examination: T37.2°C, P110 /Minute, R20 beats/min, BP14/9kPa. Severe anemia appearance, no yellow staining of the sclera, no superficial lymph node metastasis, normal heart and lung auscultation, soft abdomen, full stomach sensation, liver touch, xiphoid approx. 4cm, qualitatively stiff without tenderness. Spleen ribs approximately 4cm, no tenderness in quality. No abdominal varicose veins, mobile dullness (-). Laboratory and other auxiliary examination: Hb45g/L.WBC8.2×10~9 /L, N0.72, L0.25, E0.03, platelet count 80×10~9/normal range of liver and kidney function, stool OB weak positive. B ultrasonography advanced schistosomiasis liver disease, giant spleen grade II. Schistosoma latex Agglutination test (-) Gastroscopy: Gastric pyloric hole is round, neat, contraction is still good, a small amount of reflux, antrum small bends and