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患者符××,女,32岁,东方县新龙区人。住院号2209。缘右上腹反复绞痛伴黄疸、畏寒发热5年,本次发作10天,经当地治疗无效而于1986年5月12日急诊抬入院。体查:体温39.8℃,脉搏112次,呼吸28次,血压90/70毫米汞柱。神清痛苦,呻呤不已,烦燥不安。呼吸稍促,无发绀。巩膜皮肤黄染,皮肤有搔痕,无出血点,浅淋巴结无肿大。五官端正,颈软,气管正中,甲状腺不大。心肺无异常。脊柱、四肢无畸形。未引出病理反射。腹部稍胀,胆囊区隆起,无肠型及胃蠕动波,无静脉怒张,无外疝。全腹有压痛,以右上腹为甚,无反跳痛。右上腹肌卫(+)。肝于右肋
Character × × × ×, female, 32 years old, Dongfang County, New Dragon people. Hospital number 2209. Edge right upper quadrant recurrent colic with jaundice, chills and fever for 5 years, the onset of 10 days, the local treatment ineffective and in May 12, 1986 emergency hospital. Physical examination: body temperature 39.8 ℃, pulse 112 times, breathing 28 times, blood pressure 90/70 mm Hg. God painful, moan endless, irritable. A little breath, no cyanosis. Sclera skin yellow dye, scratch the skin, no bleeding, no swelling of the superficial lymph nodes. Good facial features, soft neck, tracheal median, thyroid is not large. No abnormal heart and lung. Spine, limbs without deformity. Did not lead to pathological reflex. Abdomen slightly swollen, gallbladder area uplift, no intestinal type and gastric motility wave, no venous tension, no external hernia. Full abdominal tenderness, to the right upper abdomen, no rebound pain. Right upper abdomen Wei (+). Liver in the right rib