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患者女,28岁。上腹部触及肿块1年余,1周来脐周阵发性疼痛,发冷发热,食欲减退。既往体健,月经正常,足月平产2胎。体检:T37.8℃,P96次/分,BP14.6/10.6 KPa。发育正常,营养中等,神志清楚,较消瘦,全身皮肤粘膜无黄染,全身浅表淋巴结未触及。心肺(一),腹略呈舟状肝剑下3cm,脾肋下2cm,边缘均光滑无压痛。脐正中上方可及2×2cm肿块,质硬,边缘清楚,表面光滑;右下腹触及散在性结节数个,无压痛,移动性浊音(±),肠鸣音正常。实验室检查:Hb118g/L,WBC5.8
The patient is 28 years old. The upper abdomen touched the mass for more than one year. In the first week, paroxysmal pain in the umbilicus, chills and fever, and loss of appetite. Past health, normal menstruation, full-term flat 2 children. Physical examination: T37.8°C, P96 beats/min, BP14.6/10.6 KPa. Normal development, moderate nutrition, conscious, relatively thin, no yellowing of the skin and mucous membranes of the body, and no superficial lymph nodes in the body. Cardiopulmonary (a), abdomen slightly scaphoid liver 3cm under the sword, spleen and ribs 2cm, the edges are smooth without tenderness. The upper umbilical can reach 2×2cm masses with hard, clear edges and smooth surface. The right lower abdomen touches several scattered nodules without tenderness, shifting dullness (±), and normal bowel sounds. Laboratory inspection: Hb118g/L, WBC5.8