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1 病例 患者,女,55岁。右上腹闷胀不适1年,疼痛1个月入院。体检:T37.8℃,P94次/分,BP16/11kPa,皮肤巩膜无黄染,右上腹局限性隆起,肝脏肋缘下4cm,触诊表面欠光滑,囊性感,压痛,无移动性浊音。实验室检查,肝功能正常,HBSAg(一),AFP(一)。B超及CT均示巨大肝囊肿。手术所见:肝脏肿大,被膜尚完整,囊肿位于肝右叶,大小32cm×21cm×20cm,囊内为暗红色液体及坏死组织,清除囊内组织后将囊肿及受压的肝右叶一并切除,肝创面大网膜填塞。 2 病理检查 囊性肿物26cm×18cm×10cm,表面略光滑,灰红色。囊内残留少量褐色液体及坏死物,内壁粗糙不平,灰白质脆,壁
1 Case The patient, female, is 55 years old. The right upper abdomen was swollen and discomfort for 1 year and the pain was admitted to the hospital for 1 month. Physical examination: T37.8°C, P94 beats/min, BP16/11kPa, no yellow staining of the skin sclera, limited uplift of the right upper quadrant, 4 cm below the costal margin of the liver, pale palpation surface, cystic sensation, tenderness, and no moving dullness. Laboratory examination, normal liver function, HBSAg (a), AFP (a). B-ultrasonography and CT showed giant hepatic cysts. Surgical findings: The liver is swollen, the capsule is still intact, the cyst is located in the right lobe of the liver, the size is 32cm x 21cm x 20cm, the capsule is dark red liquid and necrotic tissue, the cyst and the compressed right liver lobe are removed And resection, hepatic wound omental packing. 2 pathological examination Cystic mass 26cm × 18cm × 10cm, slightly smooth surface, gray-red. A small amount of brown liquid and necrosis remain in the capsule. The inner wall is rough and uneven. The gray and white material is brittle.