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女患,46岁,住院号50250。于1993年3月25日以反复上腹部不适、腹胀2月余为主诉入院。既往无药物过敏史。查体:脉搏78次/分,呼吸20次/分,血压14.7/10.7kPa。双肺呼吸音清,未闻及干、湿罗音。心率78次/分,节律规整,各瓣膜区未闻及病理性杂音。腹部平软,剑突下正中触之不适,无压痛、反跳痛及肌紧张,未触及包块,肝、脾未触及,肠鸣音正常。化验检查:血、尿、便常规均正常,便潜血阴性。肝、肾功能正
Female patient, 46 years old, hospital number 50250. On March 25, 1993 to repeated upper abdominal discomfort, abdominal distension more than 2 months mainly admitted to hospital. Past history of drug allergy. Physical examination: pulse 78 beats / min, breathing 20 beats / min, blood pressure 14.7 / 10.7kPa. Respiratory sound clear lungs, did not smell and dry, wet rales. Heart rate 78 beats / min, regular rhythm, the valve area is not known and pathological murmur. The abdomen is soft, the middle of the xiphoid touch discomfort, no tenderness, rebound tenderness and muscle tension, no mass, liver, spleen not touched, bowel sounds normal. Laboratory tests: blood, urine, then routine are normal, they occult blood negative. Liver, kidney function is positive