肝性脑病典范病例(国外英文资料).docVIP

肝性脑病典型病例(国外英文资料) Typical cases Male, 28 years old, because of right costal ache, anemic 4 years, the hematemesis, the blood, the coma 15h emergency hospital. The patient felt very tired after working five years ago. Its hot and sweaty at night. No food, no liver pain. About half a month later, he found that the liver and liver were not normal. The diagnosis hepatitis, in this unit treats half a year. The yellow dye fades away, the fatigue fades away, the appetite improves. But the body is weaker than before, and just do some light work. A year and a half ago because of work fatigue, fatigue gradually increased, the right side area also often pain, the appetite is depressed, the food quantity is reduced to 4-8 two each day. Sometimes dizziness, unwillingness to move, not supporting work and rest. The above symptoms were exacerbated half a year ago, and the body is losing weight. One month ago, we continued a small amount of hematemesis and black. At 8 PM the previous day, colleagues found that patients were barely standing, clothes scrabbled, trousers dropped, and awareness was unclear. There was a black red stool in the ground, restless and restless, and when it was delivered to our hospital at 11:00, it was in a coma. In the clinic, the blood was vomited again and again, and the blood of the dark red blood was given to the ward of the income ward. Check temperature 36.4 ℃, P140 times/min, BP12.0/7.5 kPa (90/56 MMHG), R32 times/min. There was a snore and a deep coma. Poor nutrition. The face is dark, the back of the hand, and the neck has most of the spiders veins. Hepatic palm, the sclera is not yellow, the pupil is slightly larger, the corneal reflection disappears. Eyelid edema. It has a special liver odor. Two lungs, thick and wet. The heart (1), the abdomen is full, the liver and spleen are not touched. The belly is percussion above the umbilical drum, no apparent movement of voice. The reflection of the abdominal wall and the reflection of the testis disappea