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1病例报告患者女,76岁,因持续性右上腹绞痛、头晕、乏力2h就诊,不伴恶心、呕吐、胸痛、大汗等症状。既往有慢性胆囊炎病史10余年,平时偶有发作,对症治疗均能缓解;无高血压、冠心病及糖尿病等病史。查体:脉搏60/min,血压90/60mmHg(1mmHg=0.133kPa),意识清楚,面色稍苍白,皮肤无湿冷,双肺呼吸音清,心率60/min,未闻及杂音,腹软,右上腹压痛存在,无肌紧张及反跳痛,余未见异常。血常规示:
1 case report Female patient, 76 years old, due to persistent right upper quadrant angina, dizziness, fatigue 2h treatment, not with nausea, vomiting, chest pain, sweating and other symptoms. Past history of chronic cholecystitis more than 10 years, usually occasional attacks, symptomatic treatment can be alleviated; no history of hypertension, coronary heart disease and diabetes. Examination: pulse 60 / min, blood pressure 90 / 60mmHg (1mmHg = 0.133kPa), conscious, pale face, skin wet and cold, lung breath sounds clear, heart rate 60 / min, no smell and noise, belly soft, upper right Abdominal tenderness exists, no muscle tension and rebound tenderness, I did not see abnormalities. Blood shows: