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讨论内科:本例主要表现:(1)中年男性;(2)发热、黄疸,伴有消化道及神经症状,(3)肝肿大6cm后又缩至4cm,伴轻度脾肿大,下肢水肿与少量腹水;(4)白细胞低下,血小板减少,凝血酶原时间延长,有消化道出血与皮下出血,血氨增高,肝功有胆、酶分离现象;(5)后期有肝昏迷与肾功能损害。根据病程发展考虑以下疾病: 1.恶性组织细胞病(亦称恶网):有发热,白细胞不高,肝脾肿大,应当想到恶组病。但病人起病即
Discussion of internal medicine: The main manifestations of this case: (1) middle-aged men; (2) fever, jaundice, accompanied by gastrointestinal and neurological symptoms, (3) hepatomegaly 6cm and then reduced to 4cm, with mild splenomegaly, Lower extremity edema and a small amount of ascites; (4) leukopenia, thrombocytopenia, prolonged prothrombin time, gastrointestinal bleeding and subcutaneous hemorrhage, increased blood ammonia, gallbladder liver, enzyme separation phenomenon; (5) Kidney damage. According to the development of the disease to consider the following diseases: 1. Malignant cell disease (also known as evil nets): fever, white blood cells is not high, hepatosplenomegaly, should be reminded of evil group disease. But the patient is sick