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患者男,58岁。间断上腹疼痛1年,加重7天入院。体检:皮肤巩膜无黄染,右上腹压痛,无反跳痛及肌紧张。Murphy征阳性。移动浊音阴性,肠鸣音3次/min,余无特殊。实验室检查:血甲胎蛋白(AFP)<25ng/ml,CA19-9 0.5 ng/ml,癌胚抗原(CEA)1.2 ng/ml。超声:胆囊底部壁局限性增厚,最厚处约1 cm,增厚的胆囊壁内见血流信号。考虑胆囊癌。
Male patient, 58 years old. Intermittent abdominal pain for 1 year, increased 7 days admission. Physical examination: skin sclera no yellow dye, right upper quadrant tenderness, no rebound tenderness and muscle tension. Murphy sign positive. Mobile voiced negative, bowel sounds 3 times / min, I no special. Laboratory tests: AFP <25 ng / ml, CA19-9 0.5 ng / ml, CEA 1.2 ng / ml. Ultrasound: limited limitations of the bottom of the gallbladder thickened, the thickest about 1 cm, thickening of the gallbladder wall to see the blood flow signal. Consider gallbladder cancer.