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1 病例报告 女,64岁,因左上腹部疼痛伴恶心、呕吐1d而于1999-03-04入院。查体:血压20/12kPa,皮肤、巩膜轻度黄染,心律齐。全腹有明显压痛及反跳痛,肠鸣音弱。血常规:白细胞22.9×10~9/L,血红蛋白137g/L,红细胞压积37.4％,血AM2285U/dL(正常值80U/dL～180U/dL);血AST 92U/L(正常值5IU/L～34IU/L);直接胆红素:16.7μmol/L(正常值0.0μmol/L～6.0μmol/L);ALK:134u/L(正常值15u/L～112u/L);ALT:929u/L(正常值8u/L～53u/L);总胆红素:38.8μmol/L(正常值2.0μmol/L～20.0μmol/L);血糖:9.9mmol/L(正常值3.8mmol/L～5.8mmol/L);LDH:
1 case report Female, 64 years old, admitted to hospital on March 3, 1999 due to pain in the left upper quadrant with nausea and vomiting for 1 day. Examination: blood pressure 20 / 12kPa, skin, scleral mild yellow dye, heart rate Qi. The whole abdomen has obvious tenderness and rebound tenderness, bowel sounds weak. Blood routine: WBC 22.9 × 10-9 / L, hemoglobin 137g / L, hematocrit 37.4%, blood AM2285U / dL (normal value 80U / dL ~ 180U / dL); blood AST 92U / L (normal value 5IU / L ~ 34 IU / L); direct bilirubin: 16.7 μmol / L (normal 0.0 μmol / L ~ 6.0 μmol / L); ALK: 134 u / L (Normal value 8u / L ~ 53u / L); total bilirubin: 38.8μmol / L (normal value 2.0μmol / L ~ 20.0μmol / L); blood glucose: 9.9mmol / L 5.8 mmol / L); LDH: