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患者男,55岁。因头晕、心慌、乏力、间断鼻衄3周,于1980年5月22日入院。于1956年因患总胆管及两侧肝胆管结石而行胆囊切除、Oddi氏括约肌切开及总胆管引流术。以后相继发生总胆管炎、肝脓肿、机械性肠梗阻等而多次手术治疗,并因肝胆管结石反复梗阻继发胆汁性肝硬化。1966年发现双肾结石,排出结石7块后症状缓解。1973年发现“冠心病”。有青、链霉素过敏史。家族中无特殊病史。 体检:体温37.1℃,脉搏96次,血压140/90。
Male patient, 55 years old. Due to dizziness, palpitation, fatigue, intermittent epistaxis for 3 weeks, on May 22, 1980 admitted. In 1956 due to suffering from both common bile duct and hepatolithiasis and cholecystectomy, Oddi sphincterotomy and total biliary drainage. After successive cholangitis, liver abscess, mechanical bowel obstruction and many other surgical treatment, and biliary cirrhosis secondary to recurrent obstruction of liver and gallbladder stones. Kidney stones were found in 1966, 7 after the discharge of stones to relieve symptoms. Found in 1973 “coronary heart disease.” Green, streptomycin allergy history. No special family history. Physical examination: body temperature 37.1 ℃, pulse 96 times, blood pressure 140/90.