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[上腹部疼痛鉴别诊断中肝周炎的不寻常特征]

[Unusual features of perihepatitis in the differential diagnosis of upper abdominal pain].

作者信息

Bühler H, Woodtli W, Altorfer J, Pirovino M

出版信息

Schweiz Med Wochenschr. 1981 May 30;111(22):802-4.

PMID:7244598
Abstract

Over a period of 3 years acute perihepatitis has been diagnosed in 7 women. Clinically the pain was localized to the right upper abdomen in 4, whereas 1 patient complained of bilateral upper quadrant pain; 2 patients presented with exclusively left-sided upper abdominal symptoms. In the literature perihepatitis is characterized clinically as a syndrome limited to the right upper abdominal quadrant. However, our own experience shows that this disease entity must also be considered in the differential diagnosis of left-sided upper abdominal pain in young female patients.

摘要

在3年的时间里,7名女性被诊断出患有急性肝周炎。临床上,4名患者的疼痛局限于右上腹,而1名患者主诉双侧上象限疼痛;2名患者仅表现为左上腹症状。在文献中,肝周炎临床上的特征是局限于右上腹象限的一种综合征。然而,我们自己的经验表明,在年轻女性患者左上腹疼痛的鉴别诊断中也必须考虑这种疾病实体。

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