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患者,男性,44岁,因抽搐伴意识障碍1 h急诊入院。患者于5年前确诊酒精性肝硬化失代偿期,并曾多次发生上消化道出血,于次年行经颈静脉肝内门体分流术,术后戒酒,未再出血,定期复查肝内支架通畅,肝功能稳定。3个月前,患者再次开始饮酒,平均每日饮白酒4两,未出现特殊不适反应。入院当日,患者突然倒地抽搐,伴意识不清并咬伤舌尖,持续约2min后自行缓解,在当地医院查头颅CT未见异常,急诊转来我
Patient, male, 44 years old, admitted to hospital due to convulsions associated with disturbance of consciousness 1 h. The patient was diagnosed with decompensated alcoholic liver cirrhosis 5 years ago. He had multiple upper gastrointestinal bleeding. In the following year, he passed the jugular vein shunt, postoperative alcohol abstinence, no further bleeding and regular review of the liver Internal stent patency, stable liver function. 3 months ago, the patient began to drink again, with an average daily drink of liquor 4 two, no special discomfort reaction. On the day of admission, the patient suddenly twitched to the ground, with unconsciousness and bite tongue, continued to relieve itself after about 2min, check the head CT at the local hospital no abnormality, emergency referral