论文部分内容阅读
病例摘要严××,住院号23495,男,22岁。因下肢浮肿4个月,右季肋部隐痛2个月余,于1972年1月11日入院。患者于1871年8月曾有短时间铀矿石接触史。9月发现两下肢浮肿。11月出现乏力、腹胀、右季肋部隐痛、胃纳差,曾住某医院,检查肝功能正常,总蛋白4.2克%。酚红试验和肝超声波检查未发现异常。住院期间曾有二次发热伴咳嗽、鼻塞、流涕,诊断为“感冒”。经对症处理,上述症状缓解,于1972年1月5日出院,出院诊断“早期肝硬化”。1月8日来本院门诊,疑有肝内肿瘤而入院。既往无特殊药物史,无肝炎史,无烟酒嗜好。父母、兄弟均健康。入院检查:体温37.8℃,脉搏104次,血压
Case summary Yan × ×, hospital number 23495, male, 22 years old. Due to lower extremity edema 4 months, the right quarter of the ribs pain more than 2 months, January 1, 1972 admission. Patients had a brief exposure to uranium ore in August 1871. September found two lower limb edema. November appeared fatigue, abdominal distension, pain in the right quarter ribs, poor appetite, had lived in a hospital, check the normal liver function, 4.2 grams of total protein. Phenol red test and liver ultrasound showed no abnormalities. Had a second fever during hospitalization with cough, stuffy nose, runny nose, diagnosed as “cold”. After symptomatic treatment, the above symptoms were relieved and discharged on January 5, 1972, and the patient was diagnosed with “early cirrhosis”. January 8 to our hospital, suspected intrahepatic cancer and admission. No previous history of special drugs, no history of hepatitis, no alcoholic drinks and tobacco habits. Parents, brothers are healthy. Admission examination: body temperature 37.8 ℃, pulse 104 times, blood pressure