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1病例简介患者,男,63岁,因“右上腹不适3个多月”于2014年4月7日入院。3个多月前患者无诱因出现右上腹不适,无恶心、呕吐、腹泻、黄疸、发热等不适,当地医院影像学检查提示肝脏占位,大小约4cm,伴肝内胆管结石。患病以来精神睡眠饮食可,二便正常,体重无明显变化。平素健康良好,既往无肝炎、结核或其他传染病史,否认外伤史和过敏史,7年前行胆囊切除术+胆道探查取石术。入院查体:T36.8℃,P76次/分,R20次/分,
1 Case Profile The patient, male, 63 years old, was admitted on April 7, 2014 due to “Right upper quadrant discomfort for more than 3 months.” More than 3 months ago, there was no incentive in patients with right upper quadrant discomfort, no nausea, vomiting, diarrhea, jaundice, fever and other discomfort, local hospital imaging examination prompted the liver to occupy the size of about 4cm, with intrahepatic bile duct stones. Since the onset of mental sleep diet, two will be normal, no significant weight changes. Normal health is good, no past history of hepatitis, tuberculosis or other infectious diseases, history of denial and history of allergy, 7 years ago cholecystectomy + biliary exploration stone. Admission examination: T36.8 ℃, P76 beats / min, R20 beats / min,