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病历摘要患者男性,50岁,干部,江苏沭阳人,住院号56082。因右上腹隐痛2个月,畏寒发热半月,于1979年4月4日入院。1943年患急性无黄疸型肝炎,谷丙酶经常波动在300~400单位(当地实验室正常值为110单位),曾诊断为慢性活动性肝炎,未能及时休息与治疗。1978年开始经常上腹部疼痛,经胃肠钡餐透视证实有十二指肠球部溃疡。祖父母及两个叔叔患“食道癌”去世,爱人和两个儿女曾患“肝炎”已痊愈。多年
Medical record Summary Male patient, 50 years old, cadres, Jiangsu Shuyang, hospital number 56082. Due to the right upper quadrant pain for 2 months, chills and fever half a month, on April 4, 1979 admission. 1943 suffering from acute jaundice hepatitis, cerebrovascular enzymes often fluctuate in 300 to 400 units (local laboratory normal value of 110 units), had been diagnosed with chronic active hepatitis, failed to rest and treatment. Since 1978, often upper abdominal pain, gastrointestinal barium meal perspective confirmed duodenal ulcer. Grandparents and two uncles suffering from “esophageal cancer” died, lover and two children had “hepatitis” has been cured. for many years