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例1:男,62岁,因间歇性腹胀伴进行性双下肢无力7年入院,既往先后4次在我院就诊,2009年在肝胆外科行“脾脏部分栓塞术”。本次入院查体:神志清楚,肝病面容,可见肝掌、蜘蛛痣,肌力II级,呈痉挛性步态,巴宾斯基征阳性,扑翼样震颤阳性,腹平软,移动性浊音阴性,脾肋下未触及。胸腰段MRI提示L2平面下缘可疑脊髓等T1长T2信号,腹部B超检查提示肝硬化,脾大。双下肢超声检查提示双下肢动脉未见狭窄及
Example 1: Male, 62 years old, due to intermittent abdominal distension with progressive weakness in both lower extremities 7 years admitted to the hospital, has 4 times in our hospital, in 2009 in the Department of Hepatobiliary Surgery “splenic partial embolization.” The admission examination: Conscious mind, liver disease face, visible liver palms, spider nevus, muscle II, was spastic gait, Babinski sign positive, flapping-wing tremor-positive, abdominal soft, shifting dullness Negative, spleen ribs did not touch. Thoracolumbar MRI showed a long L2 signal such as suspicious spinal cord and other long T2 signal, abdominal B-ultrasound showed cirrhosis, splenomegaly. Double lower extremity ultrasound examination showed no stenosis in both lower extremity arteries