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患者女,26岁,工人,1982年5月分娩第一胎,产后一周持续发热38℃～38.6℃,之后常感全身不适,3个月后开始感腹部不适,咳嗽,发热39～42℃左右,畏寒、头痛、呕吐,经抗生素治疗无效,肝脾均肿大,肝功能损害。于8月23日入院。体检:腹部膨满,右上腹尤为明显,无腹水征,肝上界在右乳腺上第6肋间、剑突下12cm、边缘钝且硬、表面凹凸不平、无压痛,脾肋下3.5cm,其他未
Female, 26 years old, worker, first childbirth in May 1982, with persistent fever of 38 ° C ~ 38.6 ° C one week after giving birth, and then feeling of general illness. After 3 months, she began to feel abdominal discomfort, coughing and fever of about 39 to 42 ° C , Chills, headache, vomiting, ineffective treatment of antibiotics, liver and spleen are swollen, liver damage. Admitted to hospital on August 23. Physical examination: abdominal fullness, the right upper quadrant is particularly evident, no signs of ascites, the upper liver on the right breast on the 6th intercostal, xiphoid 12cm, edge blunt and hard, uneven surface, no tenderness, spleen ribs 3.5cm, Other not