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1病例报告患者男,54岁。因阵发性腹痛3天、加重12h就诊。3天前进食猪蹄和鲫鱼后腹部阵发疼痛,无放射痛,伴恶心,无呕吐,无胸痛、胸闷,无腹泻,无头晕;未服药,症状自行缓解,但反复发作。查体:T 36℃,P 100/min,R 16次/min,BP 130/80mmHg。皮肤巩膜轻度黄染,腹软,剑突下压痛,墨菲征阳性,无反跳痛,无肌紧张,双下肢无水肿。心电图示:心房纤颤,完全性右束支传导阻滞。腹部彩超示:淤血性肝大,慢性胆囊炎。血常规正常。心肌酶CK:20U/L,CK-MB 26U/L;血糖:6.55mmol/L;肌酐91 mmol/L,总胆红素32.5μmol/L,直接胆红素
A case report male patient, 54 years old. Due to paroxysmal abdominal pain for 3 days, increased 12h treatment. 3 days before eating trotters and crucian carp abdominal pain, no radiating pain, with nausea, no vomiting, no chest pain, chest tightness, no diarrhea, no dizziness; no medication, the symptoms ease themselves, but recurrent. Examination: T 36 ℃, P 100 / min, R 16 times / min, BP 130 / 80mmHg. Skin scleral mild yellow dye, abdominal soft, tenderness under the xiphoid, Murphy levy positive, no rebound tenderness, no muscle tension, no lower extremity edema. ECG shows: atrial fibrillation, complete right bundle branch block. Abdominal color ultrasound: congestive liver, chronic cholecystitis. Normal blood. Myocardial enzymes CK: 20U / L, CK-MB 26U / L; blood glucose: 6.55mmol / L; creatinine 91mmol / L, total bilirubin 32.5μmol / L, direct bilirubin