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患者男性,66岁,于1981年10月12日因畏寒发热,伴喷嚏、全身酸痛一天入院。曾患慢性支气管炎10余年,常有咳嗽咳痰。1958年患“黄疽型肝炎”。1970年外院检查,诊断“肝硬化”。于1983年开始发现少量腹水,两下肢浮肿及食道静脉曲张,经利尿治疗,腹水、下肢浮肿好转。体检:T39.8℃,P108,R26,Bp130/70,发育营养好,巩膜、皮肤无黄染,无紫绀。两手杵状指,有肝掌,背部有蜘蛛痣三个。心脏(一),两肺背部有少许湿罗音。腹软,肝上界第五肋间、剑突下4横指、质中、无压痛,脾肋下2横指、质硬、无触痛,腹部有可疑移动性浊音,无腹壁静脉曲张,两下肢轻度可凹性浮肿。实验室检查:血常规:Hb8.6g,
The patient, male, 66 years old, was hospitalized on October 12, 1981 for chills and fever, sneezing, and body aches. Have had chronic bronchitis more than 10 years, often cough and expectoration. 1958 suffering from “jaundice hepatitis.” Outside the hospital in 1970 inspection, diagnosis of “cirrhosis.” In 1983 began to find a small amount of ascites, lower extremity edema and esophageal varices, diuretic treatment, ascites, lower extremity edema improved. Physical examination: T39.8 ℃, P108, R26, Bp130 / 70, good nutrition, sclera, skin no yellow dye, no cyanosis. Two-handed clubbing means that there are liver palms, three spider moles on the back. Heart (a), a little wet rales back lungs. Abdomen soft, the upper border of the liver of the fifth intercostal, xiphoid 4 horizontal refers to the quality, no tenderness, spleen ribs 2 horizontal, hard, no tenderness, abdomen with suspicious migrating dullness, no abdominal varicose veins, Two lower limbs may be mild swelling edema. Laboratory tests: blood: Hb8.6g,