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患者,男55岁.右上腹疼痛3天,无恶心、呕吐、发烧、腹泻等症状.以胆囊内结石,慢性胆囊炎急性发作,于1992年9月25日入院.既往有胆囊炎史,慢性肝炎史.查体:全身表浅淋巴结均未触及,心肺正常.腹平,肝脾无肿大.胆囊未触及,胆囊区压痛,无反跳痛.血常规:白细胞9.2×10~9/L,血色素151g/L,血小板132×10~9/L,红细胞计数3.84×10~(12)/L.肝功能:TTT9u,SGPT105u以上,HBsAg(十).B超:肝未见异常,胆囊大小正常、囊壁模糊不
Patients, male, 55 years old right upper quadrant pain for 3 days, no nausea, vomiting, fever, diarrhea and other symptoms to gallbladder stones, acute cholecystitis, admitted on September 25, 1992. Past history of cholecystitis, chronic History of hepatitis.Check the body: the whole body superficial lymph nodes were not touched, normal heart and lung .Abdominal flat, no swelling of the liver and spleen .Gallbladder not touched, gallbladder area tenderness, no rebound pain .Blood: WBC 9.2 × 10 ~ 9 / L , Hemoglobin 151g / L, platelet 132 × 10 ~ 9 / L, erythrocyte count 3.84 × 10-12 / L. Liver function: TTT9u, SGPT105u above, HBsAg (ten) .B ultrasound: no abnormal liver, gallbladder size Normal, the wall is not fuzzy