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患者,男,56岁。因巩膜黄染、尿黄半月余,腹胀一周入院。既往有血吸虫病史40年,曾多次治疗。1989年发生上消化道出血予左下肢静滴垂体后叶素后出现皮肤大块坏死。入院体检:体温、脉搏、呼吸、血压均正常,巩膜及皮肤粘膜黄染,无肝掌及蜘蛛痣,颈软,颈静脉不怒张,心、肺检查正常,腹轻膨,肝脾未触及,肝区叩痛(+),腹水征(+),有杵状指,双下肢无水肿。实验室检查:血浆总蛋白65.5g/L,白蛋白33.4g/L.球蛋白32g/L.肝功能:黄疸指数24单位,凡登白立即反应,STB36mg/L,TTT10单位,ZnTT14单位,SGPT>40单位。入院诊断:急性黄疸型肝炎,血吸虫病性肝硬化,肝硬化腹水。住院第3周末,患者反复呕血及黑便,考虑门脉高压食
Patient, male, 56 years old. Due to scleral yellow dye, yellow more than half a month, bloating a week hospitalization. Past history of schistosomiasis 40 years, has repeatedly treated. In 1989 the occurrence of upper gastrointestinal bleeding to the left lower limb after intravenous infusion of vasopressin skin necrosis. Admission physical examination: body temperature, pulse, respiration, blood pressure were normal, scleral and skin mucosa yellow dye, liver palms and spider nevus, neck soft, jugular vein is not angry, heart, lung examination was normal, abdominal light swelling, liver and spleen not touched , Percussion pain in the liver area (+), signs of ascites (+), clubbing, double edema without edema. Laboratory tests: total plasma protein 65.5g / L, albumin 33.4g / L. globulin 32g / L. Liver function: jaundice index 24 units, where Deng white immediate response, STB36mg / L, TTT10 units, ZnTT14 units, SGPT > 40 units. Admission diagnosis: acute jaundice hepatitis, schistosomiasis cirrhosis, cirrhosis and ascites. On the third weekend of hospitalization, patients repeatedly vomiting blood and melena, consider portal hypertension diet