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1临床资料患者,女,58岁,因“纳差5月余,恶心、呕吐7天”入院。查体:下腹部质韧,未及其他阳性体征。2015年5月4日门诊查血常规示:WBC 3.41×10~(12)/L,Hb 90g/L;肝功示:AST 39U/L,AKP 281U/L,r-GT 98U/L;CEA、CA-199未见异常;上腹部增强CT示:肝内胆管及胆总管扩张、十二指肠壁增厚,考虑炎性改变,建议必要时行ERCP检查。遂收入院。入院后查生化示:Ca 3.18mmol/L,给予抑酸、止吐、降温、
1 clinical data of patients, female, 58 years old, because “anorexia more than 5 months, nausea, vomiting 7 days ” admission. Physical examination: the lower abdomen toughness, not the other positive signs. May 4, 2015 outpatient blood tests showed: WBC 3.41 × 10-12 / L, Hb 90g / L; liver function: AST 39U / L, AKP 281U / L, r-GT 98U / L; CEA , CA-199 no abnormalities; enhanced abdominal CT showed: intrahepatic bile duct and common bile duct dilatation, duodenal wall thickening, taking into account the inflammatory changes, it is recommended if necessary ERCP examination. Then income hospital. Check-up after admission showed: Ca 3.18mmol / L, given acid suppression, antiemetic, cooling,