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病例摘要 患者男,33岁。1987年1月16日入院。于入院前10天自觉右上腹肿块,较固定,入院后2天肿块显著增大伴饮食减少。无畏寒、发热,大小便正常。体格检查:体温正常,血压150/80mmHg。未见明显消瘦,巩膜无黄染,面、颈部各有一颗蛛蜘痣、无肝掌,心肺(一),肝上界第5肋间,肋下达脐平、质中,局部隆起,下端最大横径16厘米,近肋缘处横径10厘米,上下径25厘米,轻度压痛。剑下肝大2厘米,质软,边光滑,未能扪及结节。肋下脾未及,余无特殊。
Case summary Patient male, 33 years old. Admitted to hospital on January 16, 1987. On the 10th day before admission, the mass of the right upper quadrant was perceived to be relatively fixed, and the mass was significantly increased with a decrease in the diet 2 days after admission. No chills, fever, normal urine. Physical examination: normal body temperature, blood pressure 150/80mmHg. No obvious weight loss, no yellow sclera sclera, face, neck, respectively, a spider spider, no liver palm, heart and lung (a), the fifth intercostal space liver, ribs under the umbilical level, in the middle, local uplift, lower The maximum diameter of 16 cm, 10 cm in diameter near the costal margin, up and down diameter 25 cm, mild tenderness. The liver under the sword is 2 cm thick, soft and smooth, and fails to bow to the nodules. Under the ribs, there is no special spleen.