论文部分内容阅读
患者谭××,男性,24岁,农民。自1977的秋季开始自觉头昏乏力,精神差;右上腹持续性隐痛且阵发性加剧反复发作,间隔三个月至半年发作一次,每次持续3～4天,有自行缓解趋势,并经常盗汗,自觉体质明显下降,在进脂肪饮食后有腹泻。患者有喝生水,吃生菜的不良生活习惯,曾进食过发现有肝蛭的羊肝。体检:T37.3℃,P76次,BP14.6/8.78kPa。呈慢性病容,营养欠佳,皮肤萎黄,全身表浅淋巴结无肿大。巩膜无黄染,心、肺(-)。腹部平坦柔软,肝脏在右锁骨中线肋下1.5cm,质中,轻微叩击痛,莫非氏征(±),胆
Patient Tan XX, male, 24 years old, farmer. Since the fall of 1977, he has been consciously dizzy and mentally weak; persistent pain and paroxysmal recurrence in the right upper abdomen intermittently range from three months to six months with a duration of 3 to 4 days each, with a tendency to relieve itself and often Night sweats, a marked decline in physical fitness, after the fat diet into the diarrhea. Patients have raw water, poor eating habits of lettuce, had eaten liver goats found liver leech. Physical examination: T37.3 ℃, P76 times, BP14.6 / 8.78kPa. Chronic disease, poor nutrition, skin chlorosis, systemic superficial lymph nodes without swelling. Sclera no yellow dye, heart, lung (-). Abdomen flat and soft, liver in the right subclavian midline rib 1.5cm, quality, slight percussion pain, whether the sign of (±), gall