论文部分内容阅读
1 病历摘要患者,男性,32岁。以全身乏力、食差伴消瘦2个月、意识不清4小时入院。病人2个月来无明显诱因自感全身乏力、食差、腹胀,偶有头晕,伴消瘦,无肝区疼痛,不发烧,未作任何检查,于1999年4月22日以大汗淋漓、意识不清4小时急诊入院。既往无乙肝病史,无烟酒嗜好。查体:体温36.5℃,脉搏98次/min,血压14/10kPa,营养状态差,未见肝掌及蜘蛛痣,巩膜无黄染,心肺正常,腹部膨隆,腹壁静脉曲张,肝大剑突下10cm,肋下6cm,质地硬,表面不平,脾不大,
1 medical records of patients, male, 32 years old. She was admitted to hospital with generalized fatigue, poor appetite and weight loss for 2 months, and unconsciousness for 4 hours. The patient had no apparent incentives for feeling self-inducing, poor appetite, abdominal distension, occasional dizziness, accompanied by weight loss, no liver pain, no fever, and no examination. On April 22, 1999, she sweated, Unclear consciousness was admitted to the hospital in 4 hours. No previous history of hepatitis B, no alcohol and tobacco habits. Physical examination: body temperature 36.5 °C, pulse 98 beats/min, blood pressure 14/10 kPa, nutritional status is poor, no liver palms and spider spasm, no yellow sclera, normal heart and lung, abdominal bulging, abdominal varicose veins, liver xiphoid 10cm, 6cm under the rib, hard texture, uneven surface, small spleen,