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我院自1990年至1999年收治以自发性肝破裂为首发症状的原发性肝癌3例。 例1 75岁,男性。既往健康,于1990年7月25日上午在山上砍柴中自觉右上腹部疼痛,但尚能忍受,不伴随其他症状,来我院内科就诊。一般状态尚可,BP 18/11 kPa,无明显贫血外观。右上腹部压痛(+),反跳痛(-),墨菲征(+),移动性浊音(-),诊断胆囊炎,给予抗炎,并肌注阿托品0.5毫克,右上腹痛减轻,但患者逐渐头晕,面色苍白,血压下降到
In our hospital from 1990 to 1999, 3 cases of primary liver cancer were treated with spontaneous rupture of the liver as the first symptom. Example 1 75 years old, male. In the past, I had felt pain in the right upper abdomen on the mountain on the morning of July 25, 1990, but I was still able to tolerate it. I was not able to attend to other symptoms and I came to my department for medical treatment. The general condition is fair, BP 18/11 kPa, no apparent anemia appearance. Right upper quadrant tenderness (+), rebound tenderness (-), Murphy’s sign (+), mobile dullness (-), diagnosis of cholecystitis, administration of anti-inflammatory, and intramuscular injection of atropine 0.5 mg, relief of right upper abdominal pain, but the patient gradually Dizzy, pale, blood pressure dropped to