论文部分内容阅读
患者,女,67岁,以上腹部不适,恶心,食欲不振,乏力20余天来院就诊。查体:发育尚正常,营养差,消瘦,呈痛苦面容。全身皮肤粘膜黄染,各浅表淋巴结无肿大,双肺呼吸音增粗,心尖部搏动无扩大,心律齐无杂音。全腹胀满压痛,右上腹可扪及约直径14.0cm的包块,张力高,压痛,肝下界移至平脐位,质中等,可叩出移动性浊音,肠鸣音基本正常。CT诊断:肝脏多发性囊肿,卡梭尼试验阳性。临床诊断:肝包虫病。
The patient, female, 67 years old, had abdominal discomfort, nausea, loss of appetite, and fatigue for more than 20 days. Physical examination: development is still normal, poor nutrition, weight loss, showing painful face. The body skin and mucous membranes were dyed yellow, with no enlargement of superficial lymph nodes, thickened breath sounds in both lungs, no expansion of apex beats, and no heartbeats. Abdominal fullness tenderness, right upper abdomen can be accompanied by about 14.0cm in diameter mass, high tension, tenderness, liver and lower to the flat umbilical, medium quality, can be moved out of mobile dullness, bowel sounds are normal. CT diagnosis: Multiple cysts in the liver, and the Kassoni test was positive. Clinical diagnosis: hepatic echinococcosis.