1病例报告例1患者,男,63岁,因“中上腹胀20天”于2013年8月12日入院。入院前20天患者出现上腹胀,以进食后明显,无腹痛,无恶心呕吐,伴腹泻,解黄色烂便,每日3~4次,无畏寒发热,无胸闷气促。当地对症治疗后,腹泻好转,仍感腹胀,伴腹围增大;当地查胃镜:浅表性胃炎;上腹彩超:早期肝硬化、腹水、胆囊小息肉。转本院就诊,门诊以“腹水查—肝硬化”收住入院。查体:体温36.6℃,神志清,无贫血貌,皮肤巩 Case report 1 patients, male, 63 years old, due to “mid to abdominal distension 20 days ” was admitted on August 12, 2013. 20 days before admission patients with abdominal distention, to eat significantly, no abdominal pain, no nausea and vomiting, with diarrhea, solution of yellow rotten, 3 to 4 times daily, without chills fever, no chest tightness and shortness of breath. Local symptomatic treatment, diarrhea improved, still feel bloating, with abdominal circumference increased; local check gastroscopy: superficial gastritis; abdominal ultrasonography: early cirrhosis, ascites, small polyps of gallbladder. Transfer to the hospital, outpatient to “ascites check - cirrhosis ” admitted to hospital. Physical examination: body temperature 36.6 ℃, clear consciousness, no anemia appearance, skin Gong