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患者男、33岁,因右上腹部肿块10天,于1985年9月6日入院。前10天开始脐周部不适,数小时右上腹部持续性剧痛,伴高热41—42℃,经当地抗炎治疗后症状有所减轻,因触及肿物转来我院。既往无腹痛及黑便史。检查:体温38.9℃,脉率100次/分,呈急性病容,心肺(一),右上腹偏外侧可触及10×8cm肿块,边界清,质中等,不能活动,有压痛。肠鸣音较亢进,直肠指检无异常。锁骨上淋巴结(一)肝未触及。白细胞13,100,
The patient, male, 33 years old, was admitted to the hospital on September 6, 1985 due to a 10-day mass in the upper right abdomen. In the first 10 days, discomfort in the umbilical cord began, and severe pain continued for several hours in the right upper abdomen, with hyperthermia at 41-42°C. Symptoms were relieved after treatment with local anti-inflammatory drugs and the tumor was transferred to our hospital. No past abdominal pain and black stool history. Check: body temperature 38.9°C, pulse rate 100 beats/minute, acute disease, cardiopulmonary (I), right upper quadrant can touch 10×8cm mass, border clear, medium quality, unable to move, tenderness. The bowel sounds were more hyperactive and there was no abnormality in rectal examination. The supraclavicular lymph nodes (a) did not reach the liver. Leukocyte 13,100,