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患者,女,24岁,农民,住院号279769。84年5月以腹部肿块入院。4个月前发现剑突下左侧鸡蛋大无痛性肿块,近见肿物增大伴发烧(37.4—38.7℃),经治无效就诊入院。 检查:下颌、腹股沟可及黄豆大淋巴结,质硬、活动、无压痛。心肺正常。左上腹肿物15×15cm,有切迹、质硬、触痛、活动差。A超:22×15×11 cm混合性肿物,最大液平5 cm,深1 cm,与肝无相连,与脾不易区分。体温波动于38℃上下。
Patient, female, 24 years old, farmer, inpatient number 279769. 84 years in May with abdominal mass admission. 4 months ago found that the left egg xiphoid painless mass, near the enlargement of the tumor with fever (37.4-38.7 ° C), treated by the hospital was invalid treatment. Check: mandibular, groin and soybean large lymph nodes, hard, activity, no tenderness. Cardiopulmonary normal. Left upper quadrant tumor 15 × 15cm, notch, hard, tenderness, poor activity. A super: 22 × 15 × 11 cm mixed mass, the maximum level of 5 cm, 1 cm deep, no connection with the liver, and the spleen is not easy to distinguish. Temperature fluctuations at 38 ℃ up and down.