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患者,女性。35岁,农民。因腹部胀闷感1年余,腹部包块20d于1987年2月9日入院求治。入院前1年余无明显诱因,自感上腹部胀闷不适,尤以饭后明显,并逐渐伴有隐痛。近3个月进食明显减少,每餐50～100g,体重减轻,消瘦无力。20d前因发现腹部包块如儿头大小,行B超检查,以腹部实质性肿物住院求治。患者发病以来无尿频、尿急,尿痛及血尿史。 检查:体温36.0℃、脉搏74/min、血压16/10.6kPa(120/80mmHg)。病人呈慢性病容,无贫血貌,神志清。腹部明显膨隆,右腹部可触及30cm×27cm大小包块,质硬,表面光滑,移动性差。左上腹可触及20cm×15cm包块,性质同右侧。血尿常规正常。生化检查亦均在正常范围。尿素1.75mmol/L(10.5mg/dl),
Patient, female. 35 years old, farmer. For more than 1 years due to abdominal distension, abdominal mass 20d was admitted to hospital on February 9, 1987. More than 1 year before admission, no obvious incentive, self-feeling upper abdominal discomfort, especially after dinner obvious, and gradually accompanied by pain. Nearly 3 months to eat significantly reduced, 50 ~ 100g per meal, weight loss, weight loss and weakness. 20d before the discovery of abdominal mass such as head size, line B-ultrasound, abdomen, substantive tumor hospitalized. Since the onset of patients without frequent urination, urgency, dysuria and hematuria history. Check: body temperature 36.0 ℃, pulse 74 / min, blood pressure 16 / 10.6kPa (120 / 80mmHg). Patients were chronic disease, no anemia appearance, clear consciousness. Obvious bulging abdomen, right abdomen can reach the size of 30cm × 27cm mass, hard, smooth, poor mobility. Left upper quadrant palpable 20cm × 15cm mass, with the right side. Hematuria routine normal. Biochemical tests are also in the normal range. Urea 1.75 mmol / L (10.5 mg / dl),