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患者,男性,72岁。因右上腹胀痛7天,加重并巩膜黄染1天于2001年4月18日入院。既往有“冠心病”病史十年余。查体:体温37.8℃,脉搏90次/min,呼吸19次/min,血压128/83mmHg(1mmHg=0.133kPa),全身皮肤及巩膜中度黄染,双肺未闻及干湿性罗音。心率90次/min,律齐,心音低钝,心脏各瓣膜听诊区未闻及病理性杂音。右上腹及剑突下压痛并有肌紧张,莫菲氏征阳性,肝脏于锁骨中线肋下2cm胸骨旁线肋
Patient, male, 72 years old. Due to the right upper quadrant pain for 7 days, aggravating and scleral yellow dye 1 day in April 18, 2001 admission. Past history of “coronary heart disease” more than ten years. Physical examination: Body temperature 37.8 ℃, pulse 90 beats / min, respiration 19 beats / min, blood pressure 128 / 83mmHg (1mmHg = 0.133kPa), moderate yellowish skin and sclera, unaffected lungs and dry and wet rales. Heart rate 90 beats / min, law Qi, low heart sound blunted heart auscultation area of the valve is not known and pathological murmurs. Right upper quadrant and xiphoid tenderness and muscle tension, positive Murphy’s sign, liver in the middle of the clavicle rib 2cm sternality next to the rib