1 病史摘要 患者,男,57岁,1994年1月因双下肢凹隐性浮肿4个月就诊于当地医院。体检时发现肝脾肿大,多次查尿常规正常,两次查α-Fρ>400μg/ml。肝脏CT提示慢性肝病图象。骨穿提示淋系增生,以幼淋为主。以肝癌待排,脾功能亢进转入我院进一步诊治。查体:一般状况良好,轻度贫血貌,无蜘蛛痣,未见肝掌,浅表淋巴结未及,巩膜无黄染,双肺呼吸音清晰,心脏无异常。腹软,肝在肋下3cm,边缘较钝,表面光 A history of a summary of patients, male, 57 years old, January 1994 due to concave lower extremity edema four months visit to the local hospital. Physical examination found that hepatosplenomegaly, urine check many times normal, twice check α-F ρ> 400μg / ml. Liver CT tips for chronic liver disease images. Bone wear remind lymphoid hyperplasia, mainly to the young shower. With liver cancer to be discharged, hypersplenism into our hospital for further diagnosis and treatment. Physical examination: the general condition is good, mild anemia appearance, no spider nevus, no liver palms, superficial lymph nodes, sclera no yellow dye, lung breath sounds clear, no abnormal heart. Abdomen soft, liver in the ribs 3cm, blunt edge, the surface light