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患者文××,男,48岁。因左上腹部包块及全身浮肿、消瘦、心慌、气促,于1983年5月24日入院,病史2年余。体温37℃,脉80,血压140/100。明显消瘦,不能侧卧,不能下床活动。颈静脉轻度怒张,心界向左扩大至锁骨中线外1.5cm,心尖区有吹风样收缩期杂音Ⅲ级,不传导。腹部膨隆,肝可触及肋下3cm,无触痛。左上腹可触及包块,上界不清,下界至脐下4cm,光滑不活动,无
Patient text ××, male, 48 years old. Due to left upper abdomen mass and body edema, weight loss, palpitation, shortness of breath, he was admitted to hospital on May 24, 1983 and his medical history was more than two years. Body temperature 37°C, pulse 80, blood pressure 140/100. Obviously thin, can not lie on the side, can not get out of bed activities. The jugular veins were slightly engorged, and the heart boundary expanded to the left 1.5 cm beyond the midclavicular line. There was a hair-like systolic murmur grade III in the apical area, which was not conductive. The abdomen is bulging and the liver can reach 3 cm under the ribs without tenderness. Left upper abdomen can touch mass, the upper boundary is unclear, the lower border to the umbilicus 4cm, smooth and inactive, no