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1 病例报告 例1 男,14岁,因反复鼻衄伴牙龈出血3mo入院。患者3mo前无明显诱因下出现乏力,鼻衄伴腹胀,于当地医院查肝功能轻度异常,血常规示三系低下,B超示肝硬变、脾肿大,少量腹水,故拟诊为肝硬变(失代偿期)收入院。患者平时皮肤易出现瘀斑,无特殊用药史,无手术、输血、血吸虫、肝炎史。入院体检:营养不良,轻度贫血貌,皮肤巩膜无黄染,肝掌(+),蜘蛛痣(-),腹软,肝肋下未及,脾肋下平脐,质地中等,移动性浊音(-),双下肢不肿。实验室检查:血常规Hb 75g/L,Plt 22×10~9/L,WBC2.2×10~9/L,BT 4min,CT 4min,PT 17s,生化常规ALT 63U/L,AST 93U/L,AKP 478U/L,γ-GT 100U/L,TB
1 case report 1 male, 14 years old, due to repeated nasal discharge with gums 3mo admitted. No obvious incentive to patients before 3mo appeared fatigue, rhinoplasty with abdominal distension, check the local hospital mild liver dysfunction, blood showed three lines low, B ultrasound showed cirrhosis, splenomegaly, a small amount of ascites, it is diagnosed as Cirrhosis (decompensation) income homes. Patients usually prone to ecchymosis skin, no history of special medication, no surgery, blood transfusion, schistosomiasis, history of hepatitis. Admission medical examination: malnutrition, mild anemia appearance, skin sclera no yellow dye, liver palms (+), spider nevus (-), abdominal soft, liver ribs under the ribs, spleen ribs plain umbilical, medium texture, -), double lower extremity is not swollen. Laboratory tests: blood routine Hb 75g / L, Plt 22 × 10 ~ 9 / L, WBC2.2 × 10 ~ 9 / L, BT 4min, CT 4min, PT 17s, biochemical routine ALT 63U / L, AST 93U / L , AKP 478U / L, γ-GT 100U / L, TB