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患者陈雪茹,女性,62岁。患者因间断乏力,伴肝功能异常16年,右侧肢体活动受限5天,以肝硬变、脑梗塞收入院。入院后查体:神清,语言欠流利,能正常回答问题。右侧鼻唇沟变浅,舌向右偏,皮肤巩膜无黄染,心肺无异常,腹平软,肝脾未及,腹水征(++),双下肢不肿,右侧肢体活动受限,肌力0级,巴氏征阳性。脑部CT检查提示:左顶叶大面积梗塞。腹部B超检查提示:肝硬变,腹水形成。肝功能化验:ALT24.6U、AST31.4U、白蛋白22.9g/L、球蛋白33.8g/L、
Patient Chen Xueru, female, 62 years old. Patients due to intermittent fatigue, with liver dysfunction 16 years, the right limb activity limited to 5 days to cirrhosis, cerebral infarction income hospital. After admission examination: Shen Qing, the language is not fluent, can answer questions normally. Right nasolabial fissure shallow, tongue to the right side of the skin sclera no yellow dye, no abnormal heart and lung, abdominal soft, liver and spleen not, ascites (++), both lower extremity swelling, limited right limb movement , Muscle strength 0, Pakistan’s positive sign. Brain CT examination tips: large infarct left parietal lobe. Abdominal B-ultrasound tips: cirrhosis, ascites formation. Liver function tests: ALT24.6U, AST31.4U, albumin 22.9g / L, globulin 33.8g / L,