论文部分内容阅读
1 临床资料 男性.65岁。因肝区不适,腹胀,纳差,乏力半月余。外院发现巩膜黄染,肝脾肿大,腹水,CT提示肝内多发性占位病变来我院治疗。既往有糖尿病史。查体:体温37.4℃,脉搏72次/min,血压17/11kPa。消瘦,巩膜轻度黄染,心肺阴性,腹平软,肝上界第5肋间,剑突下6cm质硬,光滑,边缘钝,无触痛,脾肋下5cm,质硬,钝缘,移动性浊音可疑。实验室检查:Hb90g/L,WBC2.3×10~(?)/L。N0.60,L0.06,E0.02 M0.02。尿胆原弱阳性、胆红素阴性。黄疸指数7U,凡登白反应延迟,胆红素14μmol/L,TFT++,TTT14U,ZTT14.4U,总蛋白55g/L,白蛋白32g/L,球蛋白23g/L,SGPT47U。尿
1 clinical data male .65 years old. Due to liver discomfort, bloating, anorexia, fatigue more than half a month. Outside the hospital found scleral yellow dye, hepatosplenomegaly, ascites, CT prompted intrahepatic multiple occupational lesions to our hospital for treatment. Past history of diabetes. Physical examination: body temperature 37.4 ℃, pulse 72 beats / min, blood pressure 17 / 11kPa. Scleral mild yellow dye, heart and lung negative, abdominal soft, the 5th intercostal space of the upper liver, 6cm under the xiphoid hard, smooth, blunt edge, no tenderness, spleen ribs 5cm, hard, blunt edge, Mobility voiced suspicious. Laboratory tests: Hb90g / L, WBC2.3 × 10 ~ (?) / L. N0.60, L0.06, E0.02 M0.02. Urine gallbladder weak positive, bilirubin negative. Jaundice index 7U, Vandenbai reaction delay, bilirubin 14μmol / L, TFT ++, TTT14U, ZTT14.4U, total protein 55g / L, albumin 32g / L, globulin 23g / L, SGPT47U. Pee