肝性脊髓病是肝病晚期的一种特殊类型的并发症,临床少见。我科发现2例报告如下: 例1,男,47岁,工人,已婚,住院号:51037。半年以来感到双下肢进行性无力、活动不便、起初尚能行走,可从事轻体力劳动。近3个月病情逐渐加重,行走困难易跌倒。5年前曾患肝炎、后诊断为肝硬变。查体:慢性病容、蜘蛛痣(+)、心肺正常、肝未触及、脾肋下2.0cm、腹水征(+)、双下肢轻度凹陷性水肿。神经系统:神清、言语不利、痉挛步态、颅神经(一)、眼底(一)K—F环(-)、双下肢肌力Ⅲ—Ⅳ级、肌张力增高,腱反射亢进,双踝阵挛(+)、双 Hepatic myelopathy is a special type of complications of advanced liver disease, clinically rare. Our department found 2 cases reported as follows: Example 1, male, 47 years old, worker, married, hospital number: 51037. Six months since the feeling of weakness in both lower limbs, activities inconvenience, at first still able to walk, can engage in light manual labor. In the past 3 months, the condition gradually aggravated, difficulty in walking easily fell. He had cirrhosis 5 years ago and was diagnosed with cirrhosis. Physical examination: chronic disease, spider nevus (+), normal cardiopulmonary, liver not touched, 2.0cm spleen ribs, signs of ascites (+), mild depression of both lower extremity edema. Nerve system: Shen Qing, speech unfavorable, spastic gait, cranial nerves (a), fundus (a) K-F ring (-), lower extremity muscle strength Ⅲ-Ⅳ level, increased muscle tone, tendon hyperreflexia, Clonus (+), double