Hello, case characteristics: 1 Middle-aged male with a history of hepatitis B for 4 years. Recurrent attacks. In the past two years, I have been exhausted, unable to participate in labor, and my lower limbs are swollen. In the past three months, my abdomen has gradually expanded and my abdominal distension has worsened.

A week ago, he was overworked and drunk;

Physical examination: sallow complexion, slight yellow staining of sclera and skin, and spider nevus in two places on the neck. No abnormality is found in heart and lung, abdomen is full, abdominal circumference is 93 cm, abdominal wall has moderate ascites and varicose veins, liver is not touched under costal margin, splenomegaly is under left costal margin 1.5 cm. There is mild edema in the lower limbs.

Auxiliary examination: laboratory examination, red blood cell count 2.9× 12 square /L, hemoglobin 98g/L, serum total protein 52.3g/l albumin 24.2g/l globulin 28. 1g/l jaundice index 180umol/l thymol turbidity test65438. X-ray esophagography showed varicose veins in the lower esophagus, and B-ultrasound showed cirrhosis, splenomegaly and ascites.

Preliminary diagnosis: hepatitis B cirrhosis, activity, decompensated period.

Diagnostic basis: 1 hepatitis B history of 4 years.

2 there are incentives, and I am tired of drinking.

Symptoms of fatigue, abdominal distension and edema of lower limbs

Physical examination: sallow complexion, slight yellow staining of sclera and skin, and spider nevus in two places on the neck. Abdominal distension, abdominal circumference of 93 cm, moderate ascites, abdominal varicose veins, splenomegaly under the left costal margin 1.5 cm. There is mild edema in the lower limbs.

5. Red blood cell count is 2.9× 12 square /L hemoglobin 98g/L serum total protein 52.3g/L albumin 24.2g/L globulin 28. 1g/L jaundice index 180umol/L thymol turbidity test 18 unit.

6 x-ray esophagography: it suggests varicose veins in the lower esophagus;

B-ultrasound showed liver cirrhosis, splenomegaly and ascites.

In line with portal hypertension are

1 lower extremity edema, abdominal swelling gradually in recent three months.

Abdominal bulge, abdominal circumference 93 cm, moderate ascites, varicose veins of abdominal wall, splenomegaly, under left costal margin 1.5 cm. There is mild edema in the lower limbs.

X-ray suggests varicose veins in the lower esophagus

B-ultrasound showed liver cirrhosis, splenomegaly and ascites.

Fatigue, abdominal distension, jaundice, ascites, edema of lower limbs, etc. Low protein and abnormal liver function, X-ray examination and B-ultrasound examination all support the manifestations of liver dysfunction.

Hepatitis B virus is the cause of abnormal liver function, and the initial abnormal liver function is the beginning of abnormal liver function. Drinking fatigue is the cause of this disease, and symptoms and signs and examination results are the evidence of this abnormal liver function.