晚期血吸虫病(晚血)肝昏迷的病理研究尚少,本例经尸检证实有脑水肿,故报道如下。患者男性,43岁,农民。入院前2天曾因便秘和腹痛,服用中药治疗。当日下午出现恶心与呕吐,吐出清水样物少许,其后嗜睡,逐渐昏迷。入院当日在某医院诊断“肝昏迷”,用谷氨酸钠治疗未见好转而转院。患者生于血吸虫病区,常有疫水 Advanced schistosomiasis (late blood) Pathogenesis of hepatic coma is still less, confirmed by autopsy in this case brain edema, it is reported as follows. Male patient, 43 years old, farmer. 2 days before admission due to constipation and abdominal pain, taking traditional Chinese medicine treatment. On the afternoon of nausea and vomiting, spit a little water samples, then lethargy, and gradually coma. On the day of admission, a liver cirrhosis was diagnosed in a hospital, and treatment with glutamate did not improve and was transferred. Patients were born in schistosomiasis, often water