冯某,男,44岁。因咳嗽,头昏、嗜睡、拒食1天,于1982年4月20日入院。1970年曾因肝硬化、脾功亢进,在他院行脾切除及门、腔静脉吻合术。术后,曾9次因肝昏迷住我院,均经抢救治愈。1975年钡餐造影,见食道静脉曲张。1978年以来,常感头晕,血压有时140～150/90～100,经休息,不用药物即可恢复正常。既往无肾脏病史,血尿素氮15.7～21mg％。体格检查:体温36℃,脉搏60 Fengmou, male, 44 years old. Due to cough, dizziness, drowsiness, antifeedant 1 day, on April 20, 1982 admission. In 1970 due to cirrhosis, hypersplenism, splenectomy in his hospital and the door, vena cava anastomosis. After surgery, 9 times because of hepatic coma live in our hospital, are cured by the rescue. Barium meal in 1975 angiography, see esophageal varices. Since 1978, dizziness often feel, sometimes 140 ~ 150/90 ~ 100 blood pressure, after a break, you can return to normal without medication. No previous history of kidney disease, blood urea nitrogen 15.7 ~ 21mg%. Physical examination: body temperature 36 ℃, pulse 60