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患者男性,64岁。主诉:腹胀。既往患非甲非乙型肝炎,由于AFP升高,于1992年8月4日入院。查体:无黄疸、贫血及浅表淋巴结肿大。腹部膨隆,腹水(+),腹壁静脉曲张,肝肿大明显,在剑突下4横指处可触及,无压痛,边缘钝,质硬,睥未触及。无肝掌和蜘蛛痣。生比检查:血清白蛋白减少,γ-球蛋白增加,胆道酶轻度上升,ICG排泄明显延迟,HCV抗体阳性,肿瘤标记AFP明显升高(11 535ng/ml),PIVKA～Ⅱ也略有升高(0.1AU/ml)。腹部超声检查结果为肝硬变,
The patient is male, 64 years old. Chief complaint: abdominal distension. Previously suffering from non-A, non-B hepatitis, was admitted to hospital on August 4, 1992 due to an increase in AFP. Physical examination: No jaundice, anemia, and superficial lymphadenopathy. Abdominal distension, ascites (+), abdominal wall varices, hepatomegaly, palpable under the xiphoid 4 cross fingertips, no tenderness, blunt edges, hard, untouched palate. No liver palms and spider mites. Health check: Serum albumin decreased, γ-globulin increased, biliary tract enzyme increased slightly, ICG excretion was significantly delayed, HCV antibody was positive, tumor marker AFP was significantly elevated (11 535 ng/ml), and PIVKA-II was slightly elevated. High (0.1 AU/ml). The result of abdominal ultrasound examination is liver cirrhosis.