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患者男,47岁,农民。腹胀、食欲差1年,腹内窜气感、糊状大便半年,持续上腹钝痛并阵发绞痛3天入院。消瘦、贫血,无黄疸及蜘蛛痣。中上腹膨隆,肌紧张,扪及新生儿头大小压痛包块,随体位左右推移10cm,上下不活动,推动时痛加重并剑下牵扯感。腹水征(±)。B超:肝内回声不均,剑突下包块内有液性暗区。胃钡餐:小弯推压后移。白细胞12×10~9/L,A/G=1.2:1,AFP阳性,SGPT24单位。术中见:全肝硬化,椭圆形褐色包块,表面血管怒张,与网膜幕状粘连,其上方呈蒂状,与
Male patient, 47 years old, farmer. Abdominal distension, poor appetite for 1 year, abdominal hernia, paste bowel movements for six months, continued dull abdominal pain and bursts of colic 3 days admitted. Weight loss, anemia, no jaundice and spider mites. In the upper abdomen, bulging, muscular tension, palpitations and neonatal head size tenderness mass, with the body position about 10cm, up and down inactive, pushing the pain increased and the sword under the sense of involvement. Ascites sign (±). Ultrasonography: Intrahepatic echoes are uneven, and there are liquid dark areas within the xiphoid mass. Stomach barium meal: small curve push back. Leukocytes 12 × 10 ~ 9 / L, A / G = 1.2: 1, AFP positive, SGPT24 units. See intraoperatively: hepatic cirrhosis, oval-shaped brown mass, vascular engorgement on the surface, adhesion to the membrane of the omentum, peduncle above it, and