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患者男,32岁。7年前诊为门脉性肝硬化,曾因上消化道出血而两次住院。经输血,保肝及对症治疗等,临床症状一度好转,但半年来明显消瘦,乏力,纳差,近20天来腹胀加重并发烧,于1981年8月14日入本院。查体:体温38℃,脉搏90次/分,血压100/70。面色灰暗,巩膜及皮肤轻度黄染,蜘蛛痣征(+),双手肝掌,全身浅表淋巴结无肿大。心肺(-)。腹部膨隆,腹壁静脉明显曲张,腹部移动性浊音(++),肝未扪及,脾在肋下4厘米,质硬,
Male patient, 32 years old. 7 years ago diagnosed as portal cirrhosis, who had two hospitalizations due to upper gastrointestinal bleeding. After transfusion of blood, liver protection and symptomatic treatment, clinical symptoms once improved, but six months was significantly weight loss, fatigue, anorexia, abdominal distension increased over the past 20 days and fever, on August 14, 1981 into our hospital. Physical examination: body temperature 38 ℃, pulse 90 beats / min, blood pressure 100/70. Dark complexion, sclera and skin mild yellow dye, spider nevus syndrome (+), both hands liver palms, systemic superficial lymph nodes without swelling. Cardiopulmonary (-). Abdominal bulge, abdominal varicose veins significantly, abdominal dullness (++), the liver is not palpable, the spleen in the ribs 4 cm, hard,