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病史摘要 张某,男性,30岁,汽车司机,住院号161100,尸检号B78-136。因发现腹块18天伴腹胀发热10天于1978年4月14日入院。 病人在入院前18天在洗澡时无意间发现上腹部拳头大小块物一个,以后迅速长大,自觉腹胀,但无腹痛。约一周后出现发热,体温波动在38～39℃之间,午后升高,清晨消退,无畏寒。伴有腰背部持续性刺痛,疲乏无力,夜间盗汗,食欲减退,体重锐减。
Medical history summary Zhang, male, 30 years old, car driver, hospital number 161100, autopsy number B78-136. He was admitted to hospital on April 14, 1978 because he found abdominal mass for 18 days with abdominal distension and fever. The patient inadvertently found a large fist in the upper abdomen during the bathing 18 days before admission. He quickly grew up and felt bloating, but no abdominal pain. About one week later, fever occurred, and body temperature fluctuates between 38 and 39°C. It rises in the afternoon and subsides in the early morning without chills. With continuous tingling in the lower back, fatigue, night sweats, loss of appetite, and weight loss.