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患者,男,56岁,腹胀、纳差、尿黄1年,少尿15天于1990年11月20日入院。患者从1989年10月开始腹胀、纳差、乏力、尿黄在当地医院诊断为黄疸型肝炎,治疗后症状缓解。1990年10月因进食高蛋白及啤酒后前述症状复现,少尿,每日500～600ml,色如浓茶。入院体检:神志清楚,全身皮肤粘膜黄染,心肺正常。腹饱满,肝浊音界缩小,脾脏左肋缘下2cm,腹水征阳性。总胆红素197.8μmol/L,麝浊14u,麝絮(?),ALT80u,血清白蛋白30g/L,球蛋白28g/L,HBSAg(+)抗-HBC(+),HBeAg(+),B 超、CT 检查示肝硬化、脾大,腹水征。诊断:肝炎后肝硬化失代偿期。给予护肝、退黄、多种维生素及对症治疗。症状无明显好转。15天后出现神志恍惚,视物
Patients, male, 56 years old, bloating, anorexia, urinary yellow 1 year, oliguria 15 days in November 20, 1990 admission. Patients began abdominal bloating in October 1989, anorexia, fatigue, urinary yellow in the local hospital diagnosed with jaundice hepatitis, symptoms after treatment. October 1990 due to high protein and beer after eating the above symptoms recurrence, oliguria, daily 500 ~ 600ml, color, such as strong tea. Admission medical examination: Conscious, systemic skin mucosa yellow dye, normal heart and lung. Full belly, liver dullness narrowing, spleen left margin of 2cm, ascites sign positive. Total bilirubin 197.8μmol / L, muskmelon 14u, musk floss, ALT80u, serum albumin 30g / L, globulin 28g / L, HBSAg + anti HBeAg + HBeAg + B ultrasound, CT examination showed cirrhosis, splenomegaly, ascites sign. Diagnosis: Hepatitis cirrhosis decompensation. Give liver protection, yellow, a variety of vitamins and symptomatic treatment. No significant improvement in symptoms. 15 days after the trance, depending on the material