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陈××,女,35岁,住院号1502号。患者自1982年6月始见上腹胀痛,反复发作四次,经当地医院用解痉止痛西药及中药,均可暂获缓解。82年8月10日又突发剧烈的上腹疼痛,恶心呕吐,便秘而收入住院治疗。检查:体温37℃,脉搏80次/分,血压90/60毫米汞柱,神志清楚,消瘦,皮肤巩膜无黄染,浅淋巴结未及,心肺(-),腹柔软呈舟状,右上腹有轻微压痛。肝下界于肋下0.5厘米,质软。血常规:血红蛋白10.6克,红细胞400万/立方毫米、白细胞4600/立方毫米,中性72%,淋巴
Chen X, female, 35, hospital number 1502. The patient had seen epigastric pain from June 1982 and had repeated episodes four times. He was relieved temporarily by local hospitals using antispasmodic drugs and traditional Chinese medicines. On August 10, 82, she also experienced severe epigastric pain, nausea, vomiting, constipation and hospitalization for income. Check: body temperature 37°C, pulse 80 beats/min, blood pressure 90/60 mm Hg, conscious, weight loss, no yellow skin-stained sclera, superficial lymph nodes, heart-lung (-), abdomen soft boat, right upper quadrant Mild tenderness. The lower liver is 0.5 cm below the ribs and is soft. Blood routine: 10.6 grams of hemoglobin, 4 million red blood cells/mm3, 4600/mm3 white blood cells, 72% neutral, lymph