患者男 ,6 0岁。因反复浮肿 6年 ,腹泻伴面色灰暗 2年 ,乏力 1年入院。 10余年前B超体检发现肝脏门静脉右支与右肝静脉交通畸形 ,以往多次查肝功能均正常 ,直至 2年前出现白蛋白降低 ,为 33g/L。无肝炎病史 ,无嗜酒史 ,无肝毒性药物服用史。入院体检 :面色灰暗 ,未见肝掌及蜘蛛 Patient male, 60 years old. Due to repeated edema for 6 years, diarrhea with dark gray for 2 years, 1 year admitted to hospital. B ultrasound examination more than 10 years ago found that the right hepatic portal vein and right hepatic vein traffic malformations, in the past many times to check liver function were normal, until 2 years ago, albumin decreased to 33g / L. No history of hepatitis, no history of alcoholism, no history of liver toxicity. Admission medical examination: looking dull, no liver palms and spiders