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1 临床资料患者,男,50岁,工人,因肝区胀痛1周,发热3天入院.体查:T38.2℃,R20次/分,P102次/分,BP17/10kPa,消瘦,巩膜、皮肤无黄染,心肺(一),腹软,右上腹压痛无反跳痛,肝区叩击痛,肝肋下1.5cm,质中等,脾(一),腹水征(一),余(一).实验室检查:血常规:WBC11.3×10~9/L,NO.72,LO.28,尿常规(一),肝功(一),AFP(一).B超:肝右前叶1.5cm×2.3cm类圆形实性低回声病灶,其后不伴声影,B超诊断:肝大,肝脓肿.
1 clinical data of patients, male, 50 years old, workers, due to liver swelling pain for 1 week, fever 3 days admitted to hospital Physical examination: T38.2 ℃, R20 beats / min, P102 beats / min, BP17 / , Skin without yellow dye, cardiopulmonary (a), abdominal soft, no rebound tenderness in the right upper quadrant tenderness, liver percussion pain, liver ribs 1.5cm, medium quality, spleen (a), ascites A). Laboratory tests: blood: WBC11.3 × 10 ~ 9 / L, NO.72, LO.28, urine (a), liver function (a), AFP Leaves 1.5cm × 2.3cm type of circular solid hypoechoic lesion, followed by sound and shadow, B ultrasound diagnosis: hepatomegaly, liver abscess.