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患者,男67岁,因消瘦半月伴左下腹痛性包块5天,于1991年3月12日收住院.患者入院前5天,感左下腹不适,同时左下腹触及一鸡蛋大之包块.5天来包块处阵发性胀痛,无放射及恶心呕吐,无腹泻,便血及类似发作史.查体,一般情况尚可,体重52Kg(减轻9Kg).体温37.2℃,脉膊80次/分,呼吸20次/分,血压14/10Kpa.心肺阴性.腹平软,于脐左下方4cm处可触到4×4cm之包块,质硬,边界清楚,表面凹凸不平,有触痛,上下及左右移动度各为2cm和4cm.Hb:120g/L,N:0.18,L:0.19.大小便常规正
The patient, male 67 years old, was admitted to hospital on March 12, 1991 due to weight loss for half a month and left lower abdomen mass for 5 days. Five days before admission, the patient felt discomfort in the left lower abdomen, while the lower left abdomen touched an egg mass. Paroxysmal pain at the parcel for 5 days, no radiation and nausea and vomiting, no diarrhea, bloody stools and similar episodes. Physical examination, fair condition, weight 52Kg (reduction of 9Kg). Body temperature 37.2°C, pulse 80 times /Minute, Breathing 20 beats/min, Blood pressure 14/10Kpa. Heart and lungs negative. Abdomen soft, 4cm at 4cm below the umbilicus can be touched, hard, clear borders, uneven surface, tenderness , Movement up and down and left and right are 2cm and 4cm.Hb: 120g/L, N: 0.18, L: 0.19.