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患者,女,53岁。于1987年5月14日以左上腹包块半年入院。半年前突然发现右上腹手拳大包块,并逐日增大,现已呈成人头大小,无疼痛,饮食不振,食后腹胀明显,伴有呕吐。体重逐渐下降,肢体无力感。患者于1年前曾因上消化道出血住内科治疗,无腹部外伤史。 体检:T 36.8℃ P108次/分 Bp 13.0/9.0kPa,神清语利,呈慢性病容,轻度贫血外貌,消瘦体质,发育—般。全腹膨隆,左上腹包块24.0cm×20.0cm×12.0cm,界不清。囊性感,表面光滑,无活动,无压痛。肝睥不大,无移浊,肠音良好。脊柱、四肢无异常。
Patient, female, 53 years old. On May 14, 1987, he was admitted to the hospital on the left upper abdomen for six months. Six months ago, suddenly found a large mass of the right upper abdominal hand fist, and increased daily, has now been adult head size, no pain, poor diet, abdominal distension after eating, accompanied by vomiting. Gradually lose weight, limb weakness. The patient had been treated with medical treatment for upper gastrointestinal bleeding 1 year before, and he had no history of abdominal trauma. Physical examination: T 36.8 °C P108 beats / min Bp 13.0/9.0kPa, God Qing language benefits, was chronic disease, mild anemia appearance, weight loss constitution, development - like. Full abdominal bulging, left upper abdominal mass 24.0cm × 20.0cm × 12.0cm, unclear. Pouch sexy, smooth surface, no activity, no tenderness. Hepatobiliary is not large, no turbidity, good bowel sounds. There are no abnormalities in the spine and limbs.