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患者,女,27岁,平玉县王岗乡人。1993年4月18日因右胁胀痛半月余为主诉入院,伴腹胀,食欲不振,神疲乏力。查体:T36.6℃、R22次/分、P88次/分、BP14.5/10.5 kPa。神志清楚,检查合作,对答切题,面色苍白,无皮疹,蜘蛛痣及静脉怒张,浅表淋巴结未触及肿大压痛,巩膜无黄染,两侧瞳孔等大等园,对光反射灵敏,心肺正常、腹部平坦,右胁叩击痛,肝大,质软,胁下2cm左右,脾未触及,小便清长,
Patient, female, 27 years old, Wang Gang Township, Pingyu County. April 18, 1993 due to right-sided pain more than half a month as the main complaint hospitalization, with bloating, loss of appetite, Shenpi fatigue. Physical examination: T36.6 ℃, R22 beats / min, P88 beats / min, BP14.5 / 10.5 kPa. Consciousness, inspection cooperation, answer questions, pale, no rash, spider nevus and vein engorgement, superficial tenderness of the superficial lymph nodes, sclera no yellow dye, both sides of the pupil and other garden, sensitive to light reflex, cardiopulmonary Normal, flat belly, right flank percussion pain, liver, soft, threatening about 2cm, spleen not touched, urine clear long,