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患者,男,63岁,18个月前因厌食、乏力加重在河北医科大学第一医院住院治疗,化验:HbsAg阳性、HbcAb阳性,肝功异常。肝脏MRI示:肝硬化、脾大。诊断为乙型肝炎肝硬化失代偿期,给予保肝、抗病毒治疗后好转出院。13个月前在本院行“脾切除加贲门周围血管离断术”。本次主因间断性乏力、厌食2年,头晕伴双上肢震颤6 d,加重1 d于
Patients, male, 63 years old, 18 months ago due to anorexia, fatigue increased hospitalization in Hebei Medical University First Hospital, laboratory tests: HbsAg positive, HbcAb positive, abnormal liver function. Liver MRI: cirrhosis, splenomegaly. Diagnosis of hepatitis B cirrhosis decompensated, given liver protection, improved after antiviral therapy was discharged. 13 months ago in our hospital “splenectomy plus cardiac peripheral vascular surgery ”. The main intermittent fatigue due to anorexia 2 years, dizziness with double upper limb tremor 6 d, increased 1 d in