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患者男性,79岁,以“间断性右上腹痛半月、加重半天”为主诉入院,无恶心呕吐及发热。既往有肝硬化病史。查体:T36.5℃、P100次/分、BP10/6kPa,腹部膨隆,全腹压痛、反跳痛及肌紧张,以右上腹为甚,移动性浊音阳性。腹穿顺利抽出5ml不凝血。化验:WBC8.7×109/L、RBC2.51×1012/L、HG
Male patient, 79 years old, with “intermittent right upper quadrant pain for half a month, aggravating half a day” as the main complaint was admitted, no nausea and vomiting and fever. Past history of cirrhosis. Examination: T36.5 ℃, P100 beats / min, BP10 / 6kPa, abdominal bulging, total abdominal tenderness, rebound tenderness and muscle tension, to the right upper abdomen is even more, shifting dullness positive. Abdominal wear smoothly out of 5ml does not clotting. Laboratory: WBC8.7 × 109 / L, RBC2.51 × 1012 / L, HG