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病例资料患者,女,63岁。以“间断性上腹部胀痛2个月”入院。入院前2个月无明显诱因感上腹部肋缘下刺痛,可自行缓解但反复发作,未予治疗;10余天前,上述症状再发且伴腹胀、呃逆,但无发热,恶心,呕吐等症状,疼痛向右腰背部放射,遂来笔者所在医院就诊。既往无肝病史;家族无类似疾病史;无烟酒不良嗜好。查体:T 36.6℃,P 80次/min,R 20次/min,血压90/60 mm Hg(1 mm Hg=0.133kPa);全身皮肤及巩膜未见黄染;腹平坦、未见胃肠型及蠕动波,腹软,上腹部轻压痛,Murphy征阴性;肝脾肋下未触
Case information patients, female, 63 years old. To “intermittent upper abdominal pain 2 months ” admission. 2 months before admission, no obvious incentive to feel the lower abdomen under the costal margin sting can relieve itself but recurrent, without treatment; more than 10 days ago, the recurrence of symptoms and associated with bloating, hiccups, but no fever, nausea, vomiting, etc. Symptoms, pain radiating to the right lower back, then come to the author’s hospital. Past history without liver disease; family history of similar diseases; alcohol-free bad habits. Examination: T 36.6 ℃, P 80 beats / min, R 20 beats / min, blood pressure 90/60 mm Hg (1 mm Hg = 0.133kPa); no yellowish skin and sclera; Type and peristaltic waves, abdominal soft, mild tenderness in the abdomen, Murphy sign negative;