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女患、49岁。因间断性左上腹痛伴呕吐5个月于1987年12月20日入院。1987年7月中旬感左上腹间断痛伴呕吐,逐渐加重、消瘦、体重减轻20公斤。无呕血及黑便。同年10月作纤维胃镜检查示:慢性胃窦炎。1960年12月因子宫颈癌(病理证实)作子宫全切术。体检:T36.0℃、P80、R18,血压14.7/9.33kPa(110/70mmHg)巩膜无黄染、浅表淋巴结不肿大,心肺无特殊。腹平软,左上腹可触及4.0×6.0cm包块,表面不平,质韧,轻压痛,活动度小。肝脾未触及。Hb112g/L、RBC3.73×10~(12)、WBC3.6×10~9/L。中性0.75、ESR50mm/h、CEA7.1mg/ml(正常<15mg/ml)γ-GT
Female patient, 49 years old. He was admitted to hospital on December 20, 1987 because of intermittent left upper abdominal pain and vomiting for 5 months. In mid-July 1987, the left upper abdomen was intermittently accompanied by vomiting, gradually increasing weight loss and weight loss by 20 kg. No vomiting and black stools. The same year in October for fiber endoscopy showed: chronic antral gastritis. December 1960 Cervical cancer (pathologically confirmed) for total hysterectomy. Physical examination: T36.0 °C, P80, R18, blood pressure 14.7/9.33kPa (110/70mmHg) sclera no yellow, superficial lymph nodes are not swollen, heart and lung no special. Abdominal soft, left upper quadrant can touch 4.0 × 6.0cm mass, uneven surface, quality tough, light tenderness, activity is small. Liver and spleen are not touched. Hb112g/L, RBC3.73*10~12, WBC3.6*10~9/L. Neutral 0.75, ESR 50mm/h, CEA 7.1mg/ml (normal <15mg/ml) γ-GT