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自１９９８年３月至２００１年１月我们在临床工作中遇见因输液治疗而发生的腹水２例,现报道如下。例１,患者,男,６２岁,退休工人。因言语不清,左侧肢体活动不灵４天入院。查体:Ｔ３６．５℃,Ｐ８０次/ｍｉｎ,Ｒ１８次/ｍｉｎ,ＢＰ１５０/９０ｍｍＨｇ。面色灰暗,神志清。前胸２个蜘蛛痣,肝掌(＋),左侧鼻唇沟变浅,心肺检查无异常,腹平软,肝肋下未触及,脾肋下３ｃｍ,腹部移动性浊音(－),左上下肢肌力Ⅲ级,左侧巴氏征(＋)。ＣＴ示右基底节区梗死。肝功检查:ＡＬＴ２０ｕ/Ｌ,ＴＴＴ１５ｕ/Ｌ,ＴＰ６３ｇ/Ｌ,Ａ３１ｇ/Ｌ,Ｇ３２ｇ/Ｌ。ＨＢｓＡｂ(＋),抗－ＨＢｃ(＋)。Ｂ超示门静脉宽１．３ｃｍ,脾大。既往患慢性乙型肝炎１０年。诊断:(１)
From March 1998 to January 2001 we met in clinical work due to infusion therapy occurred in 2 cases of ascites, are reported below. Example 1, patient, male, 62 years old, retired worker. Due to unclear language, left limb movement is not working 4 days admitted. Physical examination: T36.5 ℃, P80 times / min, R18 times / min, BP150 / 90mmHg. Looks gloomy, clear mind. Chest 2 spider nevus, liver palms (+), left nasolabial fissure shallow, no abnormal heart and lung examination, abdominal soft, liver ribs did not touch the spleen rib 3cm, abdominal dullness (-), left Lower extremity muscle strength grade Ⅲ, left side of the Pakistan’s sign (+). CT showed right basal ganglia infarction. Liver function test: ALT20u / L, TTT15u / L, TP63g / L, A31g / L, G32g / L. HBsAb (+), anti-HBc (+). B-show portal vein width 1.3cm, splenomegaly. Past history of chronic hepatitis B for 10 years. Diagnosis: (1)