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患者 男性,38岁,反复乏力、腹胀、纳差,HBsAg阳性6年伴尿少、尿黄1月入院。病程中常有鼻衄、牙龈出血及注射部位瘀斑。患者对多种药物有过敏史。入院查体:慢性肝病容,面色晦暗,皮肤巩膜轻度黄染,无肝掌,胸部可见数枚蜘蛛痣,心肺检查无异常,腹软,略膨隆,肝脾触诊不满意,移动性浊音阳性。协助检查:TBIL75μmol/L,A/G=28/37(g/L)。B超示肝脏光点增机。脾厚,门静脉宽1.6cm,脾静脉1.1cm,腹腔有液性暗区。诊断为肝炎肝硬变活动期。入院后行保肝、
Male patients, 38 years old, repeated fatigue, abdominal distension, anorexia, HBsAg positive 6 years with less urine, urine January admission. Course of the disease often epistaxis, bleeding gums and injection site ecchymosis. Patients have a history of allergies to multiple drugs. Admission examination: chronic liver disease, dull looking, mild scleral skin yellowish, liver palms, chest visible several spider nevus, no abnormal cardiopulmonary examination, abdominal soft, slightly bulging, palpation of liver and spleen are not satisfied, mobility dullness Positive. To help check: TBIL75μmol / L, A / G = 28/37 (g / L). B ultrasound showed increased liver light spot. Splenomegaly, portal vein width 1.6cm, splenic vein 1.1cm, intraperitoneal liquid dark area. Diagnosis of liver cirrhosis activity. After admission, liver protection,