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患者男性,57岁,主诉肝区疼痛合并乏力,胃纳差,于1957年11月22日急诊入院。体检示慢性病容,巩膜轻度黄染,两肺(-),心脏略向左侧扩大,心律规则,A_2>P_2,腹部饱胀,肝脏上界在第四肋间,肋下4.5cm,质偏硬,无压痛,脾在肋下3 cm。实验室检查:黄疸指数16单位,凡登白氏试验呈现直接双相反应,胆红素27.36μmo1/L,高田氏反应(++++),碱性磷酸酶54单位。胸片示右半膈内侧有隆起阴影,主动脉弓明显外突。入院后拟诊为“肝癌”,进行剖腹探查,发现肝脏已硬化,左
Male patient, 57 years old, complained of liver pain with fatigue, poor appetite, in November 22, 1957 emergency admission. Physical examination showed chronic disease, mild yellowish sclera, two lungs (-), cardiac enlargement slightly to the left, rules of heart rhythm, A_2> P_2, abdominal fullness, liver upper boundary in the fourth intercostal space, Partial hard, no tenderness, spleen in the ribs 3 cm. Laboratory tests: 16 units of jaundice index, Fudan White’s test showed a direct biphasic reaction, bilirubin 27.36μmo1 / L, Gao Tian’s reaction (++++), alkaline phosphatase 54 units. Chest radiograph showed the right side of the medial semilunar raised the shadow of the aortic arch significantly protruding. Admitted to hospital diagnosed as “liver cancer”, laparotomy, liver has been found sclerosis, left