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患者,女,57岁,生育1儿1女,因发现左乳肿物伴肿胀2月余于2014年2月12日9:00收入我院普外科。既往体健无乳腺疾患史,家族中亦无类似病史。体格检查:体温36.3℃,脉搏68次/min,呼吸20次/min,血压133/82mmH g,发育正常,神清合作,全身皮肤、黏膜无黄染、皮疹及出血点,浅表淋巴结无肿大。头颅无畸形,巩膜无黄染,结膜无苍白,双侧瞳孔正大等圆,光反射灵敏。颈软无抵抗。双肺呼吸音清,未闻及干湿性啰音,律齐,各瓣膜听诊区未闻及病理性杂音。双乳外观不对
Patients, female, 57 years old, 1 child and 1 female, because of the discovery of left breast tumor swollen February more than at 9:00 on February 12, 2014 income in our hospital general surgery. Past history of non-breast disease, no similar family history. Physical examination: body temperature 36.3 ℃, pulse 68 beats / min, breathing 20 beats / min, blood pressure 133/82 mmH g, normal development, Shen Qing cooperation, systemic skin, mucosa no yellow dye, rash and bleeding, superficial lymph nodes without swelling Big. Head without deformity, sclera no yellow dye, no pale conjunctiva, bilateral pupil Zhengda circle, light reflection sensitive. Soft neck without resistance. Respiratory sound clear lungs, no smell and wet and dry rales, law Qi, the valve auscultation area has not heard of pathological murmurs. Breast appearance is wrong