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1病例介绍患者,男,55岁,因“右上腹疼痛5 d”入院。无乏力、盗汗、发热及消瘦。门诊B超示:胆囊炎合并结石。为手术治疗入院。既往曾有胃癌病史。于1990年行胃癌根治术,未化疗。查体:T 36.7℃,P 78次/min,R 19次/min,BP 110/70 mm Hg,神志清,精神可,心肺(-),腹平软,右上腹压痛,胆囊肋下5 cm。人院后查:血常规WBC 3.4×10~9/L,Hb140 g/L,PLT 183×10~9/L。生化:ALT 83 U/L,AST 77 U/L,BUN 10.70 mmol/L,GLU 13.80μmol/L。血β_2微球蛋白
1 case description The patient, male, 55 years old, because of “right upper quadrant pain 5 d ” admission. No fatigue, night sweats, fever and weight loss. B-ultrasound clinic: cholecystitis with stones. Admission for surgical treatment. Past history of gastric cancer. In 1990 gastric cancer radical surgery, no chemotherapy. Physical examination: T 36.7 ℃, P 78 / min, R 19 / min, BP 110/70 mm Hg, psychic, mental, cardiorespiratory (-), abdominal tenderness, right upper quadrant tenderness, gallbladder ribs 5 cm . After admission, blood routine WBC 3.4 × 10 ~ 9 / L, Hb 140 g / L, PLT 183 × 10 ~ 9 / L. Biochemistry: ALT 83 U / L, AST 77 U / L, BUN 10.70 mmol / L, GLU 13.80 μmol / L. Blood β_2 microglobulin