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肝性脊髓病是慢性肝病晚期的一种神经系统表现,临床少见。国内仅有50余例报道,现报道1例。 患者 男,32岁。因间断肝功能异常5年,明显乏力,行走困难1月,于1993年2月20日以“乙肝后肝硬化,收住院。查体:神志清。皮肤巩膜无黄染,胸前可见蜘蛛痣。心肺无异常发现。腹软,腹壁无静脉曲张,肝未触及,脾肋下5cm,质硬,表面光滑,无压痛,腹水征阴性。下肢无水肿,可见肝掌实验室检查:HBsAg(+)、白蛋白/球蛋白(A/G)24g/L:41.8g/L,谷丙转氨酶(ALT)27μ/L、谷草转氨酶(AST)53U/L、血白细胞2.8×10~9/L、血小板50×10~9/L。给予六合氨基酸、肝
Hepatic myelopathy is a late manifestation of chronic liver disease, clinical rare. Only 50 cases reported in China, is reported in 1 case. Male patient, 32 years old. Due to intermittent abnormal liver function for 5 years, significant fatigue, walking difficulties in January, February 20, 1993 to "hepatitis B cirrhosis, admitted to hospital. Physical examination: God clear skin sclera no yellow dye, visible spider nevus chest No signs of cardiopulmonary obstruction Abdominal soft veins, varicose veins, liver not touched, spleen ribs 5cm, hard, smooth surface, no tenderness, ascites sign negative.Lower limbs without edema, visible liver palpebral laboratory tests: HBsAg (+ , A / G 24 g / L: 41.8 g / L, ALT 27 μ / L, AST 53 U / L and leukocyte 2.8 × 10 9 / L, Platelets 50 × 10 ~ 9 / L. Give Liuhe amino acids, liver