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1病例介绍患者,女,58岁,因上腹痛10d,于2013-06-06入院,患者10d前不明原因渐起右上腹部持续性隐痛不适,间断性加重,疼痛无转移及放射,与饮食、体位不相关,疼痛能自行缓解,但有持续不适感,不伴咳嗽、盗汗,无恶心、呕吐,无嗳气、反酸,无黄疸、血尿,无胸痛、心悸。起病第2天伴畏寒、发热(体温未测),发热以下午为甚,可自行退热,但其后反复发作,大小便正常。在家自行服药治疗(具体不详),症
1 case description The patient, female, 58 years old, due to abdominal pain 10d, admitted on 2013-06-06, the patient before 10d unexplained gradually upper right abdomen persistent pain and discomfort, intermittent exacerbation of pain without metastasis and radiation, and diet, Not related to position, the pain can relieve itself, but there is continuous discomfort, without cough, night sweats, no nausea, vomiting, asthma, acid reflux, jaundice, hematuria, no chest pain, palpitations. 2 days onset with chills, fever (body temperature not measured), fever is very afternoon, can be antipyretic, but then repeated attacks, normal urine. At home taking their own medication (specifically unknown), disease