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患者,男,51岁。因乏力,恶心,厌油,食欲减退20余天,于1979年7月28日入院。既往有慢性肝病史,肝功能异常。检查:皮肤巩膜中度黄染,胸、背、颈部皮肤可见数个蜘蛛痣。浅表淋巴结末扪及,心肺无异常。腹壁静脉隐约可见,腹软稍饱满,移动性浊音(±),右肋缘下肝大1.0cm,脾左肋缘2.5cm。白细胞4,600,中性70%淋巴25%酸性2%单核3%,血小板8.9万,血红蛋白12.2g/dl。肝功能:黄疸指数58u,胆红质定量5.8mg%,TTT18u,TFT(+++),SGPT425u。凡登白试验双相强阳性。A/G 比值3.05/3.6。甲胎蛋白、HBsAg(-)。腹水穿刺(+),腹水检查:雷瓦特试验(-),红细胞344,白细胞250,分类:中性78%,淋巴22%,蛋白定量
Patient, male, 51 years old. Due to fatigue, nausea, tired of oil, loss of appetite for more than 20 days, on July 28, 1979 admission. Past history of chronic liver disease, abnormal liver function. Check: the skin sclera moderate yellow dye, chest, back, neck skin can be seen several spider nevus. Superficial lymph nodes palpable, no abnormal heart and lung. Abdominal veins can be seen looming, belly soft slightly full, shifting dullness (±), the right costal margin of the liver 1.0cm, left splenic margin 2.5cm. White blood cells 4,600, Neutral 70% Lymph 25% Acidic 2% Mononuclear 3%, Platelets 89,000, Hemoglobin 12.2g / dl. Liver function: jaundice index 58u, bilirubin quantitative 5.8mg%, TTT18u, TFT (+++), SGPT425u. Where Deng white test biphasic strong positive. A / G ratio of 3.05 / 3.6. Alpha-fetoprotein, HBsAg (-). Ascites puncture (+), ascites examination: Revapot’s test (-), erythrocyte 344, leukocyte 250, classification: 78% neutral, lymphatic 22%, protein quantitation