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患者,男,27岁。间歇性上腹痛1年余,有时反酸。三月前始食欲明显下降,体重减轻5kg。于1991年10月31日在外院行“B超”检查,提示肝脏占位性病变。同年11月9日转入我院就诊。 体检 发育正常,营养尚可,全身皮肤及巩膜无黄染及出血点,浅表淋巴结不肿大,心肺无异常。右上腹微膨隆,肝右肋缘下4cm,触痛明显,脾脏未触及。无肝炎、结核病史。 化验查检查 血、尿、两便常规正常。ESR 57mm/h。肝
Patient, male, 27 years old. Intermittent abdominal pain for more than one year, sometimes acid reflux. The appetite decreased significantly before March, and weight loss was 5 kg. On October 31, 1991, a “B-ultrasound” examination was performed at an external hospital to indicate liver-occupying lesions. In November of the same year, he was transferred to our hospital. Physical examination is normal, nutrition is acceptable, the body skin and sclera no yellow and bleeding, superficial lymph nodes are not swollen, heart and lung without exception. The right upper abdomen is slightly bulging, and the right subcostal margin is 4 cm. The tenderness is obvious and the spleen is not touched. No history of hepatitis and tuberculosis. Laboratory inspection checks blood, urine, two regular routine. ESR 57mm/h. liver