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患者,男,25岁,未婚,农民。进行性腹胀1月,左上腹持续也疼痛20天,伴低热,呕吐,消瘦,无放射痛。于1989年10月30日以“腹块”待查入院。查体:T37.8℃,P86次/min,R21次/min,BP 20/10 kPa,无黄染,全身浅表淋巴结无肿大。头颅、五官、心、肺无异常。腹胀,左上腹明显隆起,可扪及边界不清之包块,似有波动感,表面光滑,压痛,不能推动。肝脾肋下扪不清,肝区叩痛阳性。肾区无叩压病,肠鸣音弱,腹水征不明显,脊柱、四肢、肛门、生殖系及神经系统无阳性体征。辅助检查:化验:Hb105g/L,RBC3.7×10~(12)/L,WBC6.25×10~9/L,DC.n 77％,t23％;肝功能:碘试验阴性,TTT 5U,Ⅱ 4U,胆红质 6.84μ mol/L,S-GPT 10U/dl,HBsAg阴性,AFP阴性;胸片示“两膈明
Patient, male, 25 years old, unmarried, farmer. Progressive abdominal distension in January, left upper abdomen continued to be painful for 20 days, with low fever, vomiting, weight loss, no radiating pain. On October 30, 1989, he was admitted to the hospital with a “belly”. Physical examination: T37.8°C, P86 beats/min, R21 beats/min, BP 20/10 kPa, no yellow staining, no enlarged general lymph nodes. There are no abnormalities in the skull, features, heart and lungs. Abdominal distension, with a prominent uplift in the left upper abdomen, and palpable masses with unclear borders, appear to have a sense of volatility, a smooth surface, and tenderness that cannot be promoted. The liver and spleen were unclear in the ribs and the liver area was painful. The renal region was free of pressure problems, the bowel sounds were weak, the ascites was not obvious, and there were no positive signs in the spine, limbs, anus, reproductive system, and nervous system. Supplementary examination: laboratory tests: Hb105g/L, RBC3.7×10~12/L, WBC 6.25×10~9/L, DC.n 77%, t23%; liver function: negative iodine test, TTT 5U, II 4U, bilirubin 6.84μ mol/L, S-GPT 10U/dl, HBsAg negative, AFP negative; chest X-ray