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患者,男,47岁,已婚,建筑工人。于1990年6月13日以不规则右上腹疼痛10年而入院。患者右上腹及剑突下不规则剧烈疼痛,向右肩及背部放射,与进食。气候、季节变化无关。间歇期一切如常。每年发作2次,近4年来发作频繁每年4—6次,有纳差和消瘦。否认冶游史,妻子及子女均健康。体征发现:腹软。肝肋下3cm,剑突下4cm,质韧,明显压痛。脾脏未触及。皮肤未见皮疹、黄疸及瘀点。实验室检查:AFP 0.1ng/ml,SF 208ng/ml,CG 167μg/dl。 B超检查:提示肝右后叶扫及2.2cm×3.2cm低回声区,形态不规则,边界尚清楚。选择性腹腔动脉造影。肝右动脉向末梢两分枝轻度受压变直,有分离表现,但未见异常血管的空旷区,该区
Patient, male, 47 years old, married, construction worker. He was admitted to hospital on June 13, 1990 with an irregular right upper quadrant pain for 10 years. The patient had severe irregular pain in the right upper abdomen and xiphoid. He radiated to the right shoulder and back and took food. Climate, seasonal changes have nothing to do. Intermittent business as usual. Attacks occur 2 times a year. Frequent episodes occur frequently 4-6 times a year for the past 4 years. There is anorexia and weight loss. He denied the history of smelting, and his wife and children were healthy. Signs found: abdominal soft. Liver 3cm below the ribs, 4cm below the xiphoid, tough quality, apparent tenderness. The spleen is not touched. There were no rashes, jaundice and blemishes on the skin. Laboratory tests: AFP 0.1 ng/ml, SF 208 ng/ml, CG 167 μg/dl. B-ultrasonic examination: prompts the right hepatic lobe scan and the 2.2cm x 3.2cm hypoechoic area. The shape is irregular and the boundary is still clear. Selective celiac arteriography. The right hepatic artery was gently compressed and straightened to the distal two branches, with isolated performance, but no empty areas of abnormal blood vessels were observed.