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病历摘要女患李某,68岁,郊区农民。86年3月初出现上腹部持续隐痛。三个月后疼痛加重,并有阵发性剧痛,伴纳差、恶心、消瘦、大便秘结。于86年10月7日入院。查体:体温37℃,血压正常,脉搏84次/分,神志清楚,痛苦面容,消瘦。巩膜无黄染,浅表淋巴结不大,心肺叩听未见异常。腹部平软。剑突下及左下腹部有压痛,无反跳痛,肝脾肋缘下未扪及,移动性浊音(-),肠鸣音活跃。化验:末梢血白细胞5.6×10~9/L,
Female medical record Lee, 68 years old, suburban farmers. Early March 86 appeared on the abdomen continued dull pain. Three months after the pain worse, and paroxysmal pain, with anorexia, nausea, weight loss, constipation. On October 7, 86 admission. Physical examination: body temperature 37 ℃, normal blood pressure, pulse 84 beats / min, conscious, painful face, weight loss. Scleral no yellow dye, superficial lymph nodes is not large, no abnormal cardiopulmonary percussion hearing. Abdomen soft. Xiphoid and left lower abdomen have tenderness, no rebound pain, liver and spleen are not palpable under the flange, dull mobility (-), bowel sounds active. Laboratory: peripheral blood leukocytes 5.6 × 10 ~ 9 / L,