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病例摘要患者孙某,男性,40岁,甘肃灵台县人,社员。因持续性低热、纳差,进行性黄疸50多天,于1977年5月11日入院。患者于1977年3月中旬自觉上腹部不适,轻度隐痛,伴有发热,不日感腹胀,极度无力,于进餐时往往因无力难以支持而被迫中断,卧床休息。胃纳差,食量减少近半,明显厌油和盐。恶心,进油或盐时更甚。病后3周许尿色如茶,并发现皮肤、巩膜发黄,而且日趋加深,大便灰白色,皮肤搔痒难忍。人渐消瘦。当地医院诊断为“胰头癌”。于5月11日经我院门诊检查按阻塞性黄疸,待排除胰头癌住入普通外科。
Case Summary Sun Mou, male, 40 years old, Lingtai County, Gansu Province, members. Due to persistent fever, anorexia, progressive jaundice more than 50 days, on May 11, 1977 admission. Patients in mid-March 1977 consciously abdominal discomfort, mild dull pain, accompanied by fever, day-to-day bloating, extreme weakness, often unable to support the dinner meal was forced to interrupt, bed rest. Poor appetite, food intake decreased by nearly half, obviously tired of oil and salt. Nausea, even more into the oil or salt. Urine color such as tea 3 weeks after illness, and found that the skin, sclera yellow, and deepening, gray stool, itchy skin. People are getting thinner. The local hospital diagnosed as “pancreatic head cancer.” On May 11 by our hospital outpatient check by obstructive jaundice, to be excluded from pancreatic cancer in general surgery.