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患者女,61岁。间断性腹痛、腹胀10年,发作时伴恶心、呕吐,偶尔出现黑便。入院前1个月腹痛加重,恶心、呕吐频繁。体检:皮肤、巩膜无黄染,无色素沉着。腹软、平坦,未见肠形及蠕动波。右上腹及脐周压痛明显,无反跳痛及肌紧张。未触及包块,肝、脾未触及。全腹叩诊鼓音,无移动性浊音
Female patient, 61 years old. Intermittent abdominal pain, bloating 10 years, with nausea, vomiting, occasionally melena. 1 month before admission abdominal pain increased, nausea, vomiting frequent. Physical examination: skin, sclera no yellow dye, no pigmentation. Abdomen soft, flat, no intestinal and peristaltic waves. Right upper quadrant and umbilical weeks tenderness obvious, no rebound tenderness and muscle tension. Not touched the mass, liver, spleen not touched. Full abdominal percussion drum sounds, no mobility dullness