患者女性,56岁。因腹胀、恶心6个月,右上腹阵发性疼痛、尿少、腹部膨隆,全身黄染20天,于1987年11月21日入院。6个月前自述健康。病程中无发烧、呕吐及黑便史。 查体:T36.7℃,P:96次/min,Bp:12/7.3kPa,营养欠佳,神志清,皮肤粘膜黄染,胸背部及两上肢皮肤散在出血点及淤斑。面及颈部可见8个蜘蛛痣。腹部膨隆,无腹壁静脉曲张。肝大肋下4cm,剑突下6cm,边缘钝,质地硬,表面光滑,无压痛。肾区无叩痛,腹水征(++),双下肢呈中度可凹陷性浮肿。 Patient female, 56 years old. Due to bloating, nausea for 6 months, the right upper quadrant paroxysmal pain, oliguria, abdominal bulging, body yellow dye 20 days, on November 21, 1987 admitted. Readme 6 months ago No fever in the course of the disease, vomiting and melena history. Physical examination: T36.7 ℃, P: 96 times / min, Bp:12/7.3kPa, poor nutrition, clear consciousness, skin and mucous membrane yellow dye, chest and back and upper extremity skin scattered bleeding and ecchymosis. Eight spider nodules visible on the face and neck. Abdominal bulge, no abdominal varicose veins. Liver big ribs 4cm, xiphoid 6cm, blunt edge, texture hard, smooth surface, no tenderness. No percussion pain in the kidney area, signs of ascites (++), moderate degenerative edema in both lower extremities.