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在国内肝硬化十分常见而柏—查氏综合征较为少见。因两者临床表现十分相似,临床常常容易误诊。1982年～1998年我科收治7例,均以肝硬化收治,其中合并慢性乙型肝炎2例,输血后丙型肝炎1例。1 临床资料1.1 一般资料:7例患者中男5例,女2例,年龄19～43岁。以“肝硬化,腹水”在院外治疗3～36月,其中2例HBsAg(+)2～4年,1例输血后抗-HCV(+)1年。1.2 临床表现:7例均有疲乏、食欲下降、腹胀、尿量减少,均呈慢性肝病面容,腹水征(+)。黄疸3例,肝掌4例,蜘蛛痣3例,男性乳房发育1例,肝大1例,脾大3例,下肢水肿2例,腹壁静脉怒张2例。1.3 实验室检查:所有患者均有不同程度的血清总胆红素、ALT、AST升高和血清白蛋白降低(见附表)。
Cirrhosis in the country is very common and cypress - Charlie’s syndrome is more rare. Due to the clinical manifestations of the two are very similar, often misdiagnosed clinically. From 1982 to 1998, 7 cases were treated in our department. All of them were treated with cirrhosis, including 2 cases of chronic hepatitis B and 1 case of hepatitis C after blood transfusion. 1 Clinical data 1.1 General information: 7 patients in 5 males and 2 females, aged 19 to 43 years. Hepatocirrhosis and ascites were treated in the hospital for 3 to 36 months, including 2 cases of HBsAg (+) 2 to 4 years and 1 case of anti-HCV (+) 1 year after blood transfusion. 1.2 Clinical manifestations: 7 cases were tired, loss of appetite, bloating, decreased urine output, were chronic liver disease face, signs of ascites (+). 3 cases of jaundice, 4 cases of liver palms, 3 cases of spider nevus, 1 case of male breast development, 1 case of hepatomegaly, 3 cases of splenomegaly, 2 cases of lower extremity edema and 2 cases of abdominal venous anger. 1.3 Laboratory tests: All patients have varying degrees of serum total bilirubin, elevated ALT, AST and serum albumin decreased (see table).