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[例1] 郭某,女,43岁,农民。1985年8月3日以右上腹部阵发性疼痛伴畏冷发烧5天入院。病后皮肤黄染,纳差,便结,溲短色黄。既往有类似病史约10年,并先后行总胆管切开取虫、取石,胆囊切除等3次手术。体检:血压11.5/7.5kPa,脉搏128次/分,体温39.4℃,神志清楚,巩膜皮肤黄染,心肺正常,肝上界右第5肋间,肝区叩痛,肝剑突下2cm,质中等,脾未触及。化验:血红蛋白105g/L,白细胞总数7.8×10~9/L,中性82%,淋巴18%,黄胆指数30u,凡登白试验直接立即反应。麝浊6u,锌浊8u,GPT20u,白蛋白23g/L,球蛋白30g/L。临床诊断为胆道残余结石
[Example 1] Kwak, female, 43 years old, farmer. August 3, 1985 to the right upper quadrant paroxysmal pain with fear of cold fever 5 days admission. After the skin yellow dye, anorexia, then knot, 溲 short color yellow. Past history of a similar history of about 10 years, and the first line of the common bile duct to take the worm, remove the stone, cholecystectomy and other 3 operations. Physical examination: blood pressure 11.5 / 7.5kPa, pulse 128 beats / min, body temperature 39.4 ℃, conscious, scleral skin yellow dye, normal heart and lung, upper right border of the 5th intercostal space, liver area percussion pain, liver xiphoid 2cm, Medium, spleen not touched. Laboratory tests: hemoglobin 105g / L, the total number of leukocytes 7.8 × 10 ~ 9 / L, 82% neutral, lymphatic 18%, yellow index 30u, Vandenbai test immediately and immediate response. Musk turbidity 6u, zinc turbidity 8u, GPT20u, albumin 23g / L, globulin 30g / L. Clinical diagnosis of residual bile duct stones