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秦××男,53岁,农民。因下腹部包块进行性肿大1个月于1982年7月20日入院。入院前偶有腹部不适。无心悸、气短、晕厥、头痛、多汗及呕吐症状。无高血压史。体检:T37.4℃,R18次,P100次,BP110/60,全身浅表淋巴结未显肿大,下腹部扪及儿头样大包块,边缘清,无压痛,表面不光滑。活动度大,可推至上腹部,余正常。血、尿常规正常。肝功能检查:谷氨酰转肽酶170u、硷性磷酸酶18u。ESR45mm,大便隐血(+)。胸透:右膈肌运动受限,心肺
Qin × × male, 53 years old, farmer. He was admitted to hospital on July 20, 1982 due to progressive enlargement of the abdominal mass for 1 month. There was occasional abdominal discomfort before admission. No heart palpitations, shortness of breath, syncope, headache, sweating, and vomiting. No history of hypertension. Physical examination: T37.4°C, R18 times, P100 times, BP110/60, no superficial lymph nodes enlarged, lower abdomen septum and large head mass, clear margin, no tenderness, and no smooth surface. A large degree of activity can be pushed to the upper abdomen, more than normal. Blood and urine are normal. Liver function tests: glutamyl transpeptidase 170u, alkaline phosphatase 18u. ESR45mm, fecal occult blood (+). Chest: Right diaphragmatic movement limited, cardiopulmonary