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患者 男,62岁,酒厂退休工人。发热伴咳嗽、咳痰、腹胀、尿黄2周。于1995年3月29日住入本院。患者30年前饮黄酒1～2斤/日,持续10余年,反复咳嗽、咯痰20余年,以冬春季节好发,每年持续2～3个月,5年前首次在体检时发现肝炎住外院治疗,在外院治疗期间未发现患者有肺结核病。本次拟诊;慢支伴感染、肺气肿、肺结核Ⅲ型(?)进展期痰菌(+),肝硬变伴腹水入院。无输血及注射血液生物制品史,家族中无肝炎,肺结核病史。入院后体检:神清,慢性病容,消瘦,皮肤灰暗,无出血点,有肝掌,未见蜘蛛痣,全身浅淋巴结未及,巩膜轻度黄染,两肺可闻及少量干湿啰音,心率77次/分,律齐,无杂音,腹膨隆,肝肋下未及,脾肋下1.5cm,
Patient male, 62 years old, retired winery worker. Fever with cough, expectoration, bloating, dark urine for 2 weeks. March 29, 1995 admitted to the hospital. Patients 30 years ago to drink rice 1 to 2 pounds / day for more than 10 years, repeated cough, expectoration more than 20 years to winter and spring seasons, each lasting 2 to 3 months, 5 years ago for the first time in the medical examination found that hepatitis live Outside the hospital, no tuberculosis was found in the hospital during treatment. The proposed diagnosis; chronic bronchitis with emphysema, pulmonary tuberculosis type Ⅲ (?) Phlegm (+), cirrhosis with ascites admission. No history of blood transfusion and injection of blood biological products, no history of hepatitis and tuberculosis in the family. After admission, physical examination: Shen Qing, chronic disease, weight loss, dark skin, no bleeding point, liver palms, no spider nevus, systemic superficial lymph nodes, scleral mild yellow dye, both lungs can be heard and a small amount of wet and dry rales , Heart rate 77 beats / min, Law Qi, no noise, abdominal bulging, liver under the ribs, spleen ribs 1.5cm,