论文部分内容阅读
病例报告患者男性,47岁,农民。因右上腹阵发性疼痛8月加重伴皮肤发黄2月,于1989年10月11日入院。入院时体检:T36.7℃,P 60次/min,R20次/min,BP13.2/8 kPa,急性消瘦病容,营养差,皮肤巩膜明显黄染。心肺听诊未见异常,肝脾不大,腹部平软,右上腹有深压痛,Murhy’s(+),肝区叩击痛(+)。B 超提示:胆总管内多发性结石,其中最大光团为2.1 cm×1.5cm,最小为0.7 cm×0.9 cm,胆囊12.5 cm×5 cm,肝
Case report Male patient, 47 years old, farmer. Due to paroxysmal right upper quadrant parotid pain in August increased with yellow skin February, on October 11, 1989 admission. Physical examination on admission: T36.7 ℃, P 60 times / min, R20 times / min, BP13.2/8 kPa, acute weight loss, poor nutrition, skin sclera significantly yellow dye. Cardiopulmonary auscultation no abnormalities, liver and spleen is not large, soft belly, right upper abdomen with deep tenderness, Murhy’s (+), liver percussion pain (+). B ultrasound tips: multiple stones within the common bile duct, the largest group of which was 2.1 cm × 1.5cm, a minimum of 0.7 cm × 0.9 cm, gallbladder 12.5 cm × 5 cm, liver