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1 病例报告 男,37岁。因腹痛、腹泻、消瘦3个月,于1990-07-30入院。腹痛呈持续性,以右上腹为重。大便3-4次/d,量多呈粘液稀便,餐后即开始排便,含有未消化食物,无恶臭、无脓血便及里急后重。曾在外院以结肠炎行抗炎治疗3个月无效,体重进行性下降。既往有十二指肠球部溃疡病史10年。查体:慢性消耗病容,心肺未见异常。腹软呈舟状腹。全腹压痛,以右上腹为甚。肝脾未触及,移动性浊音阴性,肠鸣音亢进。Hb 92g/L,WBC 4.9×109/L,N 0.66,L 0.44;粪常规:稀便,细菌培养阴性:血清总蛋白49.6g/L,白蛋白28.6g/L,球蛋白21.6g/L;血K~+ 3.3mmol/L,Na~+ 130
1 case report Male, 37 years old. Due to abdominal pain, diarrhea, weight loss 3 months, admitted in 1990-07-30. Abdominal pain was persistent, with the right upper quadrant as the most important. Stool 3-4 times / d, the amount of mucus was loose stools, postprandial began defecation, with undigested food, no stench, no pus and blood and tenesmus. Once outside the hospital to colitis anti-inflammatory treatment 3 months invalid weight decline. Past history of duodenal ulcer 10 years. Physical examination: chronic consumption of disease, no abnormal heart and lung. Abdominal soft was a boat belly. Full abdominal tenderness, to the right upper abdomen is even. Liver and spleen did not touch, mobility voiced negative, bowel sounds hyperthyroidism. Hb 92g / L, WBC 4.9 × 109 / L, N 0.66, L 0.44; fecal routine: loose stool, bacterial culture negative: total serum protein 49.6g / L, albumin 28.6g / L, globulin 21.6g / L; Blood K ~ +3.3 mmol / L, Na ~ +130