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本文报道了一例酒精性肝硬化患者的胆固醇性腹水,以往未见类似报道. 本例为男性,43岁.因呕血、黑便入院.有长期酗酒史及肝硬化史(经肝活检证实)和上消化道出血史.体检:面部多发性毛细血管扩张,肝掌,黄疸,睾丸萎缩,女性化.腹围110cm,腹水征(+),上腹部轻压痛,肝浊音界缩小,脾肿大.化验:便潜血(+);Hb6.1g%,HCT18.7%,凝血酶原时间18秒(对照13秒),总胆红质6.5mg/dl,
This article reports a case of alcoholic cirrhosis in patients with cholesterol ascites, in the past no similar reports.This case of male, aged 43 due to hematemesis, black stool admission.Has a long history of alcohol abuse and cirrhosis (confirmed by liver biopsy) and Upper gastrointestinal bleeding history: multiple facial telangiectasia, liver palms, jaundice, testicular atrophy, feminization. Abdominal circumference 110cm, signs of ascites (+), upper abdominal tenderness, liver dullness narrowing, splenomegaly. Hb 6.1 g%, HCT 18.7%, prothrombin time 18 seconds (control 13 seconds), total bilirubin 6.5 mg / dl,