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1病例报告患者女,61岁。主因间断双下肢水肿13年,上腹胀1个月入院。患者1985年诊断为乙型肝炎,2008年出现肝硬化、腹水,同年10月为进一步诊治来我院就诊。腹部CT检查见肝右后叶类圆形低密度影,动脉期稍强化,门脉期呈低密度,考虑为小肝癌。临床诊断:原发性肝癌;门脉高压症合并食管胃底静脉曲张、腹水、脾大、脾功能亢进;乙型活动性肝炎、肝硬化失代偿期(child-pugh A级)合并腹水。择期行肝段切除术、脾脏切除术及
A case report patient female, 61 years old. Mainly due to intermittent edema of both lower extremities 13 years, abdominal distention 1 month hospitalization. Patients diagnosed as hepatitis B in 1985, cirrhosis and ascites in 2008, the same year in October for further diagnosis and treatment to our hospital. Abdominal CT examination see the right posterior lobe circular low density, slightly enhanced arterial phase, portal venous was low density, consider a small liver cancer. Clinical diagnosis: primary liver cancer; portal hypertension with esophageal varices, ascites, splenomegaly, hypersplenism; active hepatitis B, decompensated liver cirrhosis (child-pugh A) with ascites. Elective hepatectomy, splenectomy and