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患者女,68岁。因发现右上腹肿块7天,于1989年8月17日入院。患者7天前,右上腹剧痛,为阵发性,放射右腰背不适,恶心未吐。无畏寒、发热,无咳嗽、胸痛。大小便无特殊。给予抗炎、解痉治疗后缓解。随后患者发现右上腹一肿块,约鸭蛋大小,表皮无红肿。体检:体温36.7℃,血压17.3/10.6 kPa,消瘦,皮肤巩膜无黄染,全身浅表淋巴结不肿大。心肺无特殊。肝右肋下约3cm,质软,其右外侧们及一肿块,约9×6cm,质中,表面光滑,压痛,活动度较小。在肿块下方,扪及右肾,较正常缩小,亦有压痛。无移动性
The patient is 68 years old. The patient was admitted to hospital on August 17, 1989 because he had found a mass in the right upper quadrant for 7 days. The patient had severe pain in the right upper abdomen 7 days earlier. He was paroxysmal, and he had radiation and right backache and nausea. No chills, fever, no cough, chest pain. No special urine and urine. Give relief after anti-inflammatory and antispasmodic treatment. Then the patient found a lump in the right upper abdomen, about the size of a duck egg, and no swelling on the epidermis. Physical examination: body temperature 36.7°C, blood pressure 17.3/10.6 kPa, weight loss, no sclerosis of the skin sclera, no superficial lymph nodes enlarged. No special cardiopulmonary. About 3cm below the right rib, the liver is soft, and its right lateral side and a mass, about 9 × 6cm, qualitative, smooth surface, tenderness, less activity. Below the mass, the hernia and right kidney were smaller than normal and there was tenderness. No mobility