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患者,女,61岁,农民,因粘液便、便秘交替出现伴阵发性腹痛、腹胀6个月,加剧20天入院。入院时无里急后重及脓血便,无恶心和呕吐,无出血现象。既往无出血及发热病史。体检:消瘦,贫血外观,双侧腹股沟均可触及绿豆至蚕豆大小肿大之淋巴结,无压痛,活动度好。胸骨稍压痛,心肺(-),肝上界于第6肋间,肋下触及4.5cm,剑突下触及5cm,质软,无触痛,脾
Patients, female, 61 years old, peasants, due to mucus, constipation alternates with paroxysmal abdominal pain, bloating for 6 months, aggravating 20 days admission. No tenesmus and pus and blood in hospital, no nausea and vomiting, no bleeding. No previous history of bleeding and fever. Physical examination: weight loss, anemia appearance, both sides of the groin can reach mung bean to enlarge the size of the lymph nodes, no tenderness, good activity. Slight tenderness of the sternum, cardiopulmonary (-), the upper boundary of the liver in the 6th intercostal space, touching the lower rib 4.5cm, touch of the xiphoid and 5cm, soft, no tenderness, spleen