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患者男,48岁。2013年3月初无明显诱因下出现上腹阵发性疼痛,呈刺痛,并向腰背部放射,时有恶心、呕吐,呕吐物为黄色胃内容物,无畏寒、发热、胸闷、胸痛、腹胀、腹泻等症状,肝功能正常。肿瘤标志物:AFP 4.33 ng/mL;CEA2.43 ng/mL;CA125 9.94 U/mL;CA19-9 33.45 U/mL。体检:生命征正常,巩膜轻度黄染,上腹部平坦,剑突下压痛,无反跳痛。腹部B超:
Male patient, 48 years old. Early March 2013 there was no obvious incentive to appear in the upper abdomen paroxysmal pain, tingling, and back to the Ministry of radiation, nausea, vomiting, vomit yellow stomach contents, no chills, fever, chest tightness, chest pain, bloating , Diarrhea and other symptoms, normal liver function. Tumor Markers: AFP 4.33 ng / mL; CEA 2.43 ng / mL; CA125 9.94 U / mL; CA19-9 33.45 U / mL. Physical examination: normal vital signs, scleral mild yellow dye, flat upper abdomen, tenderness under the xiphoid, no rebound tenderness. Abdomen B super: