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患者,男,47岁,因右上腹不适4个月拟诊肝右叶占位性病变入院。查体:精神好,慢性病容。巩膜无黄染,未见肝掌及蜘蛛痣,锁骨上淋巴结未触及)。腹平软,未见腹壁静脉曲张,肝上界右锁骨中线第5肋间,肋下未及,剑下6cm,脾肋下未及,无移动性浊音。肝功能:总蛋白66.0g/L,白蛋白37.4g/L,球蛋白28.6g/L,GPT<40u,AKP12u,AFP1∶1000(血凝法),HB_5Ag(—).B超:肝右叶占位,肝硬化,脾肿大。
The patient, male, 47 years old, was diagnosed with right upper quadrant discomfort for 4 months to be admitted to the hospital for occupying lesions of the right lobe. Physical examination: good spirit, chronic disease. The sclera was not yellow-stained and no liver palms and spider axillae were found. The supraclavicular lymph nodes were not touched.) Abdominal soft, no abdominal varicose veins, liver upper right clavicle line 5 intercostal space, under the ribs, 6cm under the sword, spleen and ribs did not, no moving dullness. Liver function: Total protein 66.0g/L, Albumin 37.4g/L, Globulin 28.6g/L, GPT<40u, AKP12u, AFP 1:1000 (Hemagglutination), HB_5Ag(—).B Ultra: Liver right lobe Occupation, cirrhosis, splenomegaly.