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患者女，７９岁。因右上腹疼痛反复发作２年，加重３天于１９９７年７月１８入院。患者２年前无明显诱因出现右上腹胀痛，每次发作可持续数周，自以为胃脘痛，未作任何治疗。３天前又出现右上腹痛，持续性，伴右肩部放射痛。过去无肿瘤或其他手术史。体检：右上腹有压痛，...
The patient is 79 years old. Repeated episodes of pain in the right upper quadrant for 2 years, an increase of 3 days were admitted on July 18, 1997. The patient had no apparent cause of pain in the right upper quadrant two years ago. Each episode lasted for several weeks and he felt he had epigastric pain without any treatment. Right upper abdominal pain appeared again 3 days ago, persistent, with radiating pain in the right shoulder. There was no history of cancer or other surgery in the past. Physical examination: tenderness in the right upper quadrant, ...