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女患,46岁。因上腹部饱胀不适3个月,上腹部肿块进行性肿大2个月于1983年8月20日入院。病人于1983年5月始上腹部饱胀不适,食欲不振。1个月后发现上腹部有鸡蛋大肿块,并逐日增大。曾多次到当地乡镇及县医院就诊为腹部肿块原因待查。近日来,除肿块逐日增大外,上腹部胀痛加重,呈持续性,并向后背部放射。食欲明显降低,全身乏力并中等度发热。大小便正常。既往身体健康,未患过特殊疾患。体检:神清,消瘦。皮肤、粘膜及巩膜均无黄染,全身表浅淋巴结不肿大。心肺均无异常。上腹部膨隆,腹肌软,肝脾不肿大。于剑突下偏左侧扪及一
Female patient, 46 years old. Due to discomfort in the upper abdomen for 3 months, an enlarged upper abdominal mass was admitted to hospital on August 20, 1983 for 2 months. In May 1983, the patient developed abdominal discomfort and loss of appetite. One month later, large lumps of eggs were found in the upper abdomen and gradually increased. He has repeatedly visited local townships and county hospitals for the cause of abdominal masses to be investigated. In recent days, with the exception of daily increases in mass, the pain in the upper abdomen has worsened, showing persistence and radiating to the back. Loss of appetite was noticeable, with general weakness and moderate fever. The urine will be normal. Previously healthy and not suffering from special diseases. Physical examination: God clear, thin. The skin, mucous membranes and sclera were not yellow-stained and the superficial superficial lymph nodes were not swollen. No abnormalities in heart and lung. The upper abdomen bulges, the abdominal muscles are soft, and the liver and spleen are not swollen. On the left side of the xiphoid and one