患者男,41岁。因双下肢瘫痪6个月入院。10年前曾患急性黄疸型肝炎,3年前出现肝硬化腹水,6个月前出现进行加重性两下肢僵直,屈伸障碍并跛行。查体:面色灰暗,颈静脉充盈,胸前及面部可见蜘蛛痣,肝掌(+)。腹部膨隆,腹壁静脉曲张,移动性浊音阳性。双下肢肌张力增高,肌力Ⅲ级,腱反射亢 Patient male, 41 years old. Paralysis due to lower limb paralysis 6 months admission. He had acute jaundice hepatitis 10 years ago, cirrhosis ascites 3 years ago, stiffening of the lower extremities 6 months ago, impaired flexion and extension and limpness. Examination: dark complexion, jugular vein filling, chest and face visible spider nevus, liver palms (+). Abdominal bulging, abdominal varicose veins, shifting dullness positive. Lower extremity muscle tone increased muscle strength grade Ⅲ, tendon hyperreflexia