GPT and Ascites: Comatose, HE grade 3, oxygenation support via endotracheal tube, mottled skin, rapid weak pulse 160 beats per minute, blood pressure 120/70 mm Hg, diffuse petechiae, bilateral decreased lung sound at 2 bases, substantial ascites, insidious nasal and oral bleedings, equal and reactive pupils HCT = 31%, PLT = 11 × 109/L, AST = 13,860 U/L, ALT = 2451 U/L, Lactate = 6.3 mmol/L, NH3 = 201 μmol/L