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1 临床资料病例1 高承林,男,43岁,住院号321036。1998年7月入院。该患1995年以呕血、黑便在我院消化内科经止血治疗及全面检查确诊“肝炎后肝硬化、肝功能失代偿期”。病情稳定后行“TIPPS”手术,此后病人多次因“肝性脑病”住院。1996年病人出现下肢行走无力,僵硬感,步态不稳,渐发展至活动完全受限,双上肢活动正常,生活不能自理。诊断为“肝性脊髓病”。入院查体“思睡,反应迟钝。皮肤巩膜轻度黄染,颜面污秽。心肺(-)。腹软肝脾肋下未触及,移动性浊音阴性,双下肢无浮肿。计算力差,定向力正常。双手扑翼样震颤阳性。双上肢肌力、肌张力正常。双下肢肌力Ⅲ级,
1 Clinical data Case 1 Gao Chenglin, male, 43 years old, hospital number 321036. July 1998 admission. The suffering from hematemesis in 1995, black in our hospital digestive medicine by hemostasis and a comprehensive examination confirmed “hepatitis cirrhosis, decompensated liver function.” The condition was stable after “TIPPS” surgery, many times since the patient was “hepatic encephalopathy” hospitalization. In 1996, the patient showed weakness in his lower limbs walking, stiff feeling, unsteady gait, gradually developing to complete limitation of activities, normal upper extremities activities, and unable to take care of himself. Diagnosed as “hepatic myelopathy.” Admission examination "Slept, unresponsive. Skin scleral mild yellow dye, facial contamination. Cardiopulmonary (-). Abdominal soft liver and spleen ribs were not touched, shifting voiced negative, no swelling of both lower extremities. Normal handshake-like asymptomatic positive double upper limb muscle strength and muscle tone normal double lower limb muscle strength Ⅲ,