论文部分内容阅读
例1男,70岁,因呕血1000ml 伴黑便4天入院。查体:T 36℃,P 95次/分,R 20次/分,BP 14/9kPa。神清,慢性肝病面容。心肺无异常。腹壁静脉曲张,肝右锁骨中线肋缘下3cm,质硬,脾左肋缘下2cm,质软,腹水征阳性。辅助检查:肝功正常,HBsAg(+),Hb 79g/L,TP 57g/L,A 27g/L,G 30g/L。B 超:肝形态失常,肝内回声强,光点粗,门静脉宽1.4cm,脾厚4.5cm,腹腔内
Example 1 Male, 70 years old, due to hematemesis 1000ml with melena 4 days admission. Physical examination: T 36 ℃, P 95 beats / min, R 20 beats / min, BP 14 / 9kPa. Clear, chronic liver disease face. No abnormal heart and lung. Abdominal varicose veins, liver right clavicle under the midline rib margin 3cm, hard, spleen left margin 2cm, soft, ascites sign positive. Auxiliary examination: normal liver function, HBsAg (+), Hb 79g / L, TP 57g / L, A 27g / L, G 30g / L. B super: abnormal liver morphology, strong intrahepatic echo, light spot thick, portal vein width 1.4cm, splenomegaly 4.5cm, intraperitoneal