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1 病历摘要患者,男性,60岁。因常规体检时,腹部B超发现左上腹肿物而入院。病程中无返酸、嗳气,无呕吐,无腹痛、腹泻,二便正常、饮食及睡眠佳。查体:神志清楚,皮肤粘膜无黄染,无瘀点及瘀斑,全身浅表淋巴结未触及,腹平软,肝脾未触及,全腹无压痛、反跳痛及肌紧张,双下肢无浮肿。实验室检查:血、尿、肝、肾相关项目检验均正常。胸透、心电图均正常。腹部彩超:肝胆胰脾正常,于剑突下脾内侧探及3.2cm×
1 medical records of patients, male, 60 years old. Due to a routine physical examination, abdominal ultrasonography was found on the left upper quadrant and admitted to the hospital. No acid, belching, no vomiting, no abdominal pain, no diarrhea during the course of the disease, normal diet, good diet and good sleep. Physical examination: Consciousness, no yellowing of skin and mucous membranes, no blemishes and ecchymosis, no contact with superficial lymph nodes, soft abdomen, no hepatosplenomegaly, no tenderness, rebound tenderness, and muscular tension in the entire abdomen, no lower limbs edema. Laboratory tests: Blood, urine, liver, and kidney related items are all normal. Chest and ECG are normal. Abdominal color Doppler ultrasound: normal hepatobiliary and spleen and spleen, 3.2cm × ×