论文部分内容阅读
患者,女性,已婚,32岁。1996年4月8日因右上腹隐痛半年,加重半月入院。自述恶心、厌食,夜间盗汗,体重减轻。8个月前曾在当地县医院做“阑尾切除术”。查体:体温36.7℃,脉搏80次/分,血压14/10kPa。消瘦面容,皮肤及巩膜无黄染,心肺无异常,腹部平坦(右上腹饱满),肝肋下可触及,疼痛,剑突下偏右可触及一个3cm×4cm×3cm大小肿块,质中等,脾未触及,右下腹有阑尾切口迹。血常规均正常,肝功能无异常,A/G比值无倒置,总蛋白7.4g/L,尿八项正常,胸部平片提示,两肺清晰,两次CT扫描均报告为肝左内下叶可见1.8cm×1.2cm×2.0cm大小高密度阴影,诊断为肝左内下叶胆管结石。两次B超提示;左肝内下叶回声略粗增强,探及
Patient, female, married, 32 years old. April 8, 1996 due to pain in the right upper quadrant for six months, increased half a month admitted to hospital. Readily disgusting, anorexia, night sweats, weight loss. 8 months ago in the local county hospital done appendectomy. Physical examination: body temperature 36.7 ℃, pulse 80 beats / min, blood pressure 14 / 10kPa. Thin face, skin and sclera without yellow dye, no abnormal heart and lungs, flat abdomen (right upper quadrant full), liver ribs can be touched, pain, xiphoid may reach a right size 3cm × 4cm × 3cm size mass, medium, spleen Not touched, the right lower quadrant appendectomy. Blood routine were normal, no abnormal liver function, A / G ratio without inversion, the total protein 7.4g / L, eight normal urine, chest plain film tips, both lungs clear, two CT scans were reported as the left inferior lobe of liver Visible 1.8cm × 1.2cm × 2.0cm size of high-density shadows, the diagnosis of left inferior bile duct stones. B-two tips; left hepatic lobule echo slightly thicker, exploration and exploration