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肝性脑病恢复期并发可逆性小脑机能丧失尚属罕见。现将我们所见一例报告如下。患者男性,53岁。因纳差、腹胀4年,乏力、双下肢水肿3个月,呕血、黑便2天,于1990年4月29日入院。4年前因腹胀、纳差、巩膜黄染在当地医院诊断为“黄疸型肝炎”,经治疗后好转,但仍有腹胀。近3个月来出现乏力、腹胀加重伴双下肢水肿,当地医院诊断为“肝硬化’。2天前无诱因突然呕血和排黑便总量约800ml,即来我院。查体:Bp12.33/8.33kPa,面色灰
Concomitant reversible cerebellar loss of hepatic encephalopathy during convalescence is rare. Now we see a report as follows. Patient male, 53 years old. Due to anorexia, bloating 4 years, fatigue, edema of both lower extremities 3 months, hematemesis, melena 2 days, on April 29, 1990 admission. 4 years ago due to abdominal distension, anorexia, sclera yellow dye in the local hospital diagnosed as “jaundice hepatitis” after treatment improved, but there are still bloating. Nearly three months to appear fatigue, abdominal distension increased with lower extremity edema, the local hospital diagnosed as “cirrhosis.” Two days ago, there was no incentive for a sudden hematemesis and quetiapine a total of about 800ml, that came to our hospital. Physical examination: Bp12. 33 / 8.33kPa, looking gray