论文部分内容阅读
临床事項 60歲、男性、炊事員,住院號武醫附一醫院20930,1954年1月15日入院。 主訴:近20天全身皮膚發黃,身體顯著消瘦,曾有二次上腹部陣發性隱痛。不放射,食欲不佳,1月7日起大便呈陶土色,三天來皮膚發痒,不發熱:起病第三天自覺上腹部有硬塊,迄今并无增大的感覺。以往有痢疾史,无上腹痛或黄疸史。 檢查:發育佳良,皮膚鬆弛黄綠色,鞏膜黄疸明顯,全身表淺淋巴結不腫大。腹部:脾腫大約4厘米,質軟;肝腫大右肋緣下4厘米,劍突下8.5厘米,質硬,表向略粗糙,有輕度壓痛;其余正常,无腹水现象。胸部,心尖與主動脉瓣區有輕度吹風性收縮期雜音,無其他異常。肛門指檢前列腺未腫大。
Clinical Matters 60 years old, male, cook, hospital No. wuxia attached to a hospital 20930, January 15, 1954 admission. Chief Complaint: Body skin yellowing nearly 20 days, significant weight loss, there have been two times the upper abdomen paroxysmal pain. No radiation, poor appetite, January 7 stool color was clay, three days itchy skin, no fever: the third day of onset consciously have lumps on the abdomen, so far no increase in feeling. In the past history of diarrhea, no history of upper abdominal pain or jaundice. Check: Good development, skin yellowish green sclera jaundice obvious, systemic superficial lymph nodes are not swollen. Abdomen: splenomegaly about 4 cm, soft; hepatomegaly right margin of 4 cm, xiphoid 8.5 cm, hard, slightly rough table, mild tenderness; the rest of the normal, no ascites. Chest, apex and aortic valve area mild hair systolic murmur, no other abnormalities. Anal refers to the prostate is not swollen.