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患者男性,46岁,住院号56714,飞行干部,因健康体检,于83年6月26日入院.入院后第三日(6月29日)突然发生右上腹痛,始为绞痛,20分钟后转为隐痛,伴有反酸,嗳气及恶心,疼痛向左肩放散,无黄疸,次日伴有发烧腹胀.体温38.3℃,脉搏88,血压110/80,发育营养良好,急性病容,精神差,皮肤巩膜无黄染,无出血,浅淋巴结不大.咽部无充血,颈软气管居中,甲状腺不大,两肺呼吸音正常.未闻干湿性啰音,心界不大,心律齐,心音正常.腹部胀满,右上腹有压痛,
Male patient, 46 years old, hospital number 56714, flight officer, was admitted for medical examination on June 26, 2003. On the third day after admission (June 29), a sudden onset of right upper quadrant pain started with colic and after 20 minutes Turn into a pain, accompanied by acid reflux, belching and nausea, pain to the left shoulder to disperse, no jaundice, the next day accompanied by fever bloating.Physiological temperature 38.3 ℃, pulse 88, blood pressure 110/80, good nutrition, acute disease, Skin sclera without yellow dye, no bleeding, light lymph nodes is not large. Throat no congestion, central neck, tracheal, thyroid is not large, both lungs breath sounds normal. Unheard wet and dry rales, the heart is not big, heart Qi Qi, Heart sounds normal. Abdominal fullness, right upper quadrant tenderness,