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患者,女,19岁,汉族,社员,湖北宜城人。住院号80391。一个月前发现右上腹有一鸡蛋大肿物,无疼痛和其它任何症状。并逐渐增大。本市医院检查胎甲球和乙型肝炎表面抗原阳性。火箭电泳>1000毫微克/毫升。(同位素扫描示肝右叶大片状放射缺损。诊断为“原发性肝癌”否认肝炎接触史。家族无特殊记载。13岁患胃痛反酸及剑突下疼痛,至今未愈。查体:T36℃,P76次/分,BP120/70mmHg,发育正常,营养中等,精神好,神志清楚,合作。皮肤巩膜(无)黄染,皮肤无出血点,蜘蛛痣及肝掌。心肺正常。无腹壁静脉曲张。肝上界右锁骨中线第四助问。右上腹隆起,可能及直径约6cm 大小园形肿物,质硬,不活动,触痛不明显,表面光滑。肿物下可触及肝缘,肝中(等)
Patient, female, 19 years old, Han nationality, member, Hubei Yicheng. Hospital number 80391. One month ago, a large egg mass was found on the right upper abdomen, with no pain and any other symptoms. And gradually increase. The hospital in this Municipality examined the positive results of fetal nail and hepatitis B surface antigen. Rocket electrophoresis >1000 ng/ml. (Isotope scan shows a large slice of radiological defect in the right lobe of the liver. The diagnosis of “primary liver cancer” denied the history of exposure to hepatitis. The family had no special records. The 13-year-old suffered from gastric pain, acid reflux, and subxiphoid pain and was still unrecovered. T36°C, P76 beats/min, BP120/70mmHg, normal development, moderate nutrition, good spirits, conscious, cooperation, skin sclera (no) yellow stain, no bleeding spots on the skin, spider mites and liver palms, normal heart and lungs, no abdominal wall Varicose veins.The upper right liver line of the right clavicle Fourth helper.The right upper abdomen uplift, and may be about 6cm in diameter large or small tumor, hard, inactive, tenderness is not obvious, the surface is smooth. The tumor can touch the edge of the liver , Liver (etc.)