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例1,女,62岁.因食欲不振、消瘦3月,恶心、呕吐1周,于1995年12月23日入院.患者无腹痛、腹泻,无心悸、多汗.查体:体温36.5℃,血压17.3/9.3kPa.体征消瘦,营养差,无突眼,巩膜无黄染.颈软,双侧甲状腺不大.心率100次/min,律齐,无杂音,双肺未闻及异常.腹软,无压痛,肝脾未及,双手颤(-).实验室检查:血、尿、便常规(-),肝功、血淀粉酶值正常.B超示肝胆胰未见异常.胃镜及
Example 1, female, aged 62. Because of loss of appetite, weight loss in March, nausea and vomiting for 1 week, admitted on December 23, 1995. Patients without abdominal pain, diarrhea, no heart palpitations, sweating Physical examination: body temperature 36.5 ℃, Blood pressure 17.3 / 9.3kPa .Small signs of weight loss, poor nutrition, no exophthalmos, scleral no yellow dye.Lineral soft, bilateral thyroid is not big heart rate 100 beats / min, law Qi, no noise, both lungs unheard and abnormal abdomen Laboratory tests: blood, urine, then routine (-), liver function, blood amylase normal value .B ultrasound showed no abnormality of hepatobiliary and pancreatic. Gastroscopy and