病历摘要 朱×,男,65岁,大学教师。因气短乏力3个月,发现上腹部包块3天,于1979年2月1日入院。 患者于1978年11月开始轻度腹胀,进食稍过量或受凉即出现水样泻,上楼时乏力气短。无腹痛、厌油及发热。当月27日在本单位查体,未发现肝脾肿大等异常体征,但胸透显示“右隔局限膨出”。此后,腹 Medical records summary Zhu X, male, 65 years old, university teacher. Due to shortness of breath and fatigue for 3 months, he was found to have abdominal mass for 3 days and was admitted to hospital on February 1, 1979. The patient developed mild abdominal distension in November 1978. He had a slight overdose or a cold sensation of watery diarrhea when he was eating, and he was short of breath when going upstairs. No abdominal pain, tired of oil and fever. On the 27th of this month, the body was examined and no abnormal signs such as hepatosplenomegaly were found. However, chest thoracolumnum showed “right septum limited bulging”. After that, belly