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陈某,男,30岁,1988年6月24日初诊。右上腹外伤,伴右胁部瘀肿疼痛13天。患者于1988年6月11日右上腹部被飞转脱落的砂轮击伤,右胁部瘀肿疼痛即入本院外科治疗。“B”型超声波检查发现肝左内叶少许破裂。经用止血敏、红霉素及对症治疗10天,疼痛减轻而出院。出院3天来,右胁部疼痛仍未见消失,经“B”型超声波检查发现肝内血肿而收入我科治疗。体检:一般情况尚可。慢性病容,全身皮肤粘膜无黄染。心律整,双肺呼吸音清晰。剑突下右侧5cm×3cm瘀斑,压痛明显,无反跳痛。腹软,腹部未扪及包块,未叩及移动性浊音,肠鸣音存在,肝脾肋下未
Chen, male, 30 years old, was newly diagnosed on June 24, 1988. Right upper quadrant trauma, with swelling and pain in right flank for 13 days. On June 11, 1988, the patient’s right upper abdomen was wounded by a grinding wheel that had been turned off. The pain in the right flank was admitted to the hospital for surgical treatment. “B” ultrasound examination revealed a little rupture of the left internal lobe. After being treated with hemostatic, erythromycin and symptomatic for 10 days, the patient was relieved of pain and discharged. Three days after discharge, the pain in the right flank remained undisappeared. Hepatic hematoma was found on the “B” type ultrasound examination and was treated in our department. Physical examination: Generally acceptable. Chronic disease, no yellow skin and mucous membranes. Heart rhythm, breath sounds clear lungs. On the right side of the xiphoid process, there was a 5cm x 3cm ecchymosis with tenderness and no rebound tenderness. Soft abdomen, unabated abdomen and mass, no palpation and shifting dullness, bowel sounds, liver and spleen ribs not present