论文部分内容阅读
患者男性,39岁,住院号46968。入院前2个月开始肝区持续性隐痛,伴右肩区放射,不规则发热,体温38℃左右。当地医院诊为“胆囊炎”,给予消炎利胆治疗无效,于1991年7月10日收我院。既往健康,否认有阿米巴痢疾及病毒性肝炎病史。查体:T:37.8℃,P:80次/分,R:18次/分,Bp:18/11kPa,表浅淋巴结未触及,巩膜及皮肤无黄染,未见肝掌及蜘蛛痣,心肺正常,肝右肋下3cm,剑突下6cm
The patient was male, 39 years old, hospital number 46968. Two months before admission, persistent persistent pain in the liver area, with radiation in the right shoulder area, irregular fever, body temperature of about 38 °C. The local hospital diagnosed as “cholecystitis” and gave no cure for gallbladder gallbladder. He was admitted to our hospital on July 10, 1991. Past health, denied the history of amoebic dysentery and viral hepatitis. Physical examination: T: 37.8°C, P: 80 beats/min, R: 18 beats/min, Bp: 18/11kPa, no contact with superficial lymph nodes, no yellow stain on the sclera and skin, no liver palms and spider axillae, heart lungs Normal, 3 cm below the right costal rib, 6 cm below the xiphoid process