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1病历简介女,59岁。因体检发现腹腔巨大肿物。无明显不适,无疼痛,无恶心呕吐,无腹痛和腹胀,无寒战及高烧,无便血和便秘,精神、食欲好,体重无明显下降。门诊以腹腔巨大肿物收住院。T36.6℃,P80次/min,律齐。R20次/min,BP18/12kPa。营养良好,自动体位,神志清,皮肤及粘膜无黄染,浅表淋巴不肿大,活动自如,口唇红润,颈静脉无怒胀。肝脾未触及,腹部平软。两肺呼吸音清晰,头颅五官正常。腹部隆起,腹部巨大肿物上自剑突下至耻骨联合上,两侧至侧腹部,表面光滑,质硬,活动尚可,无触痛及反跳痛。生理反射存在,病理
1 medical records Female, 59 years old. Due to physical examination found a huge abdominal mass. No obvious discomfort, no pain, no nausea and vomiting, no abdominal pain and bloating, no chills and fever, no blood in the stool and constipation, good spirits, good appetite and no significant weight loss. Outpatient admitted to the hospital with a huge abdominal tumor. T36.6 ℃, P80 times / min, law Qi. R20 times / min, BP18 / 12kPa. Good nutrition, automatic position, clear mind, skin and mucous membrane without yellow dye, superficial lymph nodes are not swollen, free movement, lips rosy, jugular vein without bloating. Liver and spleen not touched, the belly is soft. Breath sounds clear two lungs, facial features normal. Abdomen bulge, abdominal huge tumor from the xiphoid to the pubic symphysis on both sides to the side of the abdomen, the surface smooth, hard, activity is acceptable, no tenderness and rebound tenderness. Physiological reflex exists, pathology