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1病例报告患者女,77岁。间断上腹痛1年,加重5天入院。查体:肝肋下两横指,脾未扪及,Murphy征(+);移动性浊音阴性,肠鸣音3次/min。实验室检查:血AFP<25 ng/ml,CA19-90.5ng/ml,CEA 1.2ng/ml。超声检查示:空腹胆囊增大,胆囊壁增厚、水肿,内见血流信号,无声影,不移动;考虑胆囊癌。CT检查示:胆囊底部不规则增厚,增强扫描增厚的胆囊壁中度强化,未突破胆囊浆膜层,胆囊床周围脂肪间隙清晰,肝门部未见增大淋巴结,肝内未见异常强化区;考虑胆囊癌。全麻下行胆囊
A case report patient female, 77 years old. Intermittent abdominal pain for 1 year, increased 5 days admission. Physical examination: two ribs under the ribs, spleen not palpable, Murphy sign (+); mobility dullness negative, bowel sounds 3 times / min. Laboratory tests: blood AFP <25 ng / ml, CA19-90.5 ng / ml, CEA 1.2 ng / ml. Ultrasonography showed: fasting gallbladder increased gallbladder wall thickening, edema, see the blood flow signal, silent film, do not move; consider gallbladder cancer. CT examination showed: irregular thickening of the bottom of the gallbladder, enhancement of enhanced thickening of the gallbladder wall moderate enhancement, did not break the gallbladder serosa, clear fat around the gallbladder clearance clear, no increase in the hilar lymph nodes, liver no abnormalities Strengthen the area; consider gallbladder cancer. Gallbladder under general anesthesia