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患者男,49岁,因右侧腹部肿块伴纳差,全身乏力半月,于1988年8月20日入院。体检:体温:37℃,血压15.9/10.6kPa。发育正常,稍消瘦。全身皮肤无黄染及出血点,浅表淋巴结不肿大。心肺无异常。腹壁浅静脉轻度曲张,右上腹可触及—15×10cm 肿块,下界清,质硬、表面欠光滑,有轻度压痛。脾脏不肿大。辅助检查:血红蛋白108g/L,白细胞3.8×10~9/L,中性74%,淋巴26%,血小板100×10~9/L。出血时间1分钟,凝血时间1分钟,凝血酶原时间13秒。尿、粪常规均正常。肝功能:A/G=3.8/2.3。ESR
The patient, male, 49 years old, was admitted to hospital on August 20, 1988 because of a poor abdominal mass with an accompa- nied difference. Physical examination: Body temperature: 37°C, blood pressure 15.9/10.6kPa. Normal development, slightly thin. There was no yellowing and bleeding in the skin of the whole body, and the superficial lymph nodes were not swollen. No abnormalities in heart and lungs. Mild varicose veins in the abdominal wall, and a 15×10 cm mass in the right upper quadrant, clear in the lower border, hard, smooth surface, and mild tenderness. The spleen is not swollen. Ancillary examinations: Hemoglobin 108 g/L, WBC 3.8 x 10~9/L, Neutral 74%, Lymphatic 26%, Platelets 100 x 10~9/L. The bleeding time was 1 minute, the clotting time was 1 minute, and the prothrombin time was 13 seconds. Urinary and fecal routines were normal. Liver function: A/G=3.8/2.3. ESR