1 临床资料男性,52岁。因间断意识不清三年,再次发作四天为主诉,于1988年12月31日入院。曾于1985年5月因肝硬化,脾大,行门—腔分流术,术后曾六次发生肝昏迷,经治疗好转出院。1987年初开始双下肢乏力,麻木加重,至1988年下旬出现双下肢完全性痉挛性瘫痪。查体:体温39℃,脉搏90次/分,呼吸28次/分。血压13/6kPa,神志不清,呈昏迷状态,巩膜轻度黄染,全身皮肤灰暗,无蜘蛛痣 1 Clinical data Male, 52 years old. Due to intermittent unconsciousness for three years, four days again for the main complaint, admitted in December 31, 1988. Had in May 1985 due to liver cirrhosis, splenomegaly, line-door shunt, hepatic coma occurred six times after surgery, after treatment and improved discharged. Beginning of 1987, both lower extremity weakness, numbness increased, until late 1988 full leg spastic paralysis. Physical examination: body temperature 39 ℃, pulse 90 beats / min, breathing 28 beats / min. Blood pressure 13 / 6kPa, unconscious, was unconscious, scleral mild yellow dye, dark skin, no spider nevus