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汤林红 肝胆管细胞癌?

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尤溪县医院

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发表于 2019-7-8 13:10:42 | 显示全部楼层 | 阅读模式
1.患者,女,52岁,皮肤、巩膜黄染3天。
2.现病史:患者于入院前10天,偶然见发现尿黄,呈浓茶色,无尿频、尿急,无恶心、呕吐,无畏冷、发热,无头晕、头痛,无胸闷、胸痛,无腹痛、腹胀,无乏力等不适,当时未引起重视。入院前3天无明显诱因出现皮肤、巩膜黄染,不能自行缓解,遂求诊我院,门诊拟“肝占位性病变”收住我科。自发病以来,精神、饮食、睡眠尚可,二便正常,体重无明显改变。
3.既往史:30年前行“结扎手术”。无其他特殊病史。
4.入院查体:T:36.4℃;P:60次/分;R:19次/分;BP:137/84mmHg,神志清楚,查体合作。皮肤黏膜中度黄染,双侧巩膜中度黄染。双肺呼吸音清晰,未闻及干湿性啰音。心律齐,各瓣膜听诊区未闻及杂音。腹平坦,无腹壁静脉曲张、无胃肠型及蠕动波,脐下6cm处可见3.5cm陈旧性疤痕;肠鸣音正常,约4次/分;腹肌软,全腹无压痛及反跳痛,肝脾肋缘下未触及,Murphy征阴性;腹部叩诊呈鼓音,肝区、肾区叩击痛阴性。
5.辅助检查:2019.07.04 外院:肝功能:总胆红素 136.68mmol/L;直接胆红素 93.64 mmol/L,间接胆红素:43.0mmol/L。                                 
(二)初步诊断:1.肝占位性病变。
腹部CT增强扫描见:上腹部平扫+增强扫描:肝Ⅳ段可见团片状稍低密度影,横截面测量范围约3.6cm×3.0cm,CT值约22HU,中央可见分隔,增强扫描动脉期病灶周围环形明显强化,门脉期强化范围有所扩大,延迟4分钟后扫描病灶显示范围缩小,周围境界不清,肝内胆管轻度扩张,肝外胆管无明显扩张,胆囊未见显示。脾脏形态、大小正常,脾实质密度均匀。腹膜后未见明显肿大淋巴结。腹腔未见积液征。诊断考虑:肝Ⅳ段异常强化灶伴肝内胆管扩张,考虑肿瘤性病变,以胆管细胞癌可能性大。


Tang LinHong C1032296--- Se2 Im1.bmp
Tang LinHong C1032296--- Se2 Im2.bmp
Tang LinHong C1032296--- Se2 Im3.bmp
Tang LinHong C1032296--- Se2 Im4.bmp
Tang LinHong C1032296--- Se2 Im5.bmp
Tang LinHong C1032296--- Se2 Im6.bmp
Tang LinHong C1032296--- Se2 Im7.bmp
Tang LinHong C1032296--- Se2 Im8.bmp
Tang LinHong C1032296--- Se2 Im9.bmp
Tang LinHong C1032296--- Se2 Im10.bmp
Tang LinHong C1032296--- Se2 Im11.bmp
Tang LinHong C1032296--- Se2 Im12.bmp
Tang LinHong C1032296--- Se2 Im13.bmp
Tang LinHong C1032296--- Se2 Im14.bmp
Tang LinHong C1032296--- Se2 Im15.bmp
Tang LinHong C1032296--- Se2 Im16.bmp
Tang LinHong C1032296--- Se2 Im17.bmp
Tang LinHong C1032296--- Se2 Im18.bmp
Tang LinHong C1032296--- Se2 Im19.bmp
Tang LinHong C1032296--- Se2 Im20.bmp
Tang LinHong C1032296--- Se2 Im21.bmp
Tang LinHong C1032296--- Se2 Im22.bmp
Tang LinHong C1032296--- Se2 Im23.bmp
Tang LinHong C1032296--- Se2 Im24.bmp
Tang LinHong C1032296--- Se2 Im25.bmp
Tang LinHong C1032296--- Se2 Im26.bmp
Tang LinHong C1032296--- Se2 Im27.bmp
Tang LinHong C1032296--- Se2 Im28.bmp
Tang LinHong C1032296--- Se2 Im29.bmp
Tang LinHong C1032296--- Se2 Im30.bmp
Tang LinHong C1032296--- Se2 Im31.bmp
Tang LinHong C1032296--- Se2 Im32.bmp
Tang LinHong C1032296--- Se2 Im33.bmp
Tang LinHong C1032296--- Se2 Im34.bmp
Tang LinHong C1032296--- Se2 Im35.bmp
Tang LinHong C1032296--- Se2 Im36.bmp
Tang LinHong C1032296--- Se2 Im37.bmp
Tang LinHong C1032296--- Se2 Im38.bmp
Tang LinHong C1032296--- Se2 Im39.bmp
Tang LinHong C1032296--- Se2 Im40.bmp
Tang LinHong C1032296--- Se2 Im41.bmp
Tang LinHong C1032296--- Se2 Im42.bmp
Tang LinHong C1032296--- Se2 Im43.bmp
Tang LinHong C1032296--- Se2 Im44.bmp
Tang LinHong C1032296--- Se2 Im45.bmp
Tang LinHong C1032296--- Se2 Im46.bmp
Tang LinHong C1032296--- Se2 Im47.bmp
Tang LinHong C1032296--- Se2 Im48.bmp
Tang LinHong C1032296--- Se2 Im49.bmp
Tang LinHong C1032296--- Se2 Im50.bmp
Tang LinHong C1032296--- Se2 Im51.bmp
Tang LinHong C1032296--- Se2 Im52.bmp
Tang LinHong C1032296--- Se2 Im53.bmp
Tang LinHong C1032296--- Se2 Im54.bmp
Tang LinHong C1032296--- Se2 Im55.bmp
Tang LinHong C1032296--- Se2 Im56.bmp
Tang LinHong C1032296--- Se2 Im57.bmp
Tang LinHong C1032296--- Se2 Im58.bmp
Tang LinHong C1032296--- Se2 Im59.bmp
Tang LinHong C1032296--- Se2 Im60.bmp
Tang LinHong C1032296--- Se2 Im61.bmp
Tang LinHong C1032296--- Se2 Im62.bmp
Tang LinHong C1032296--- Se2 Im63.bmp
Tang LinHong C1032296--- Se2 Im64.bmp
Tang LinHong C1032296--- Se2 Im65.bmp
Tang LinHong C1032296--- Se2 Im66.bmp
Tang LinHong C1032296--- Se2 Im67.bmp
Tang LinHong C1032296--- Se2 Im68.bmp
Tang LinHong C1032296--- Se2 Im69.bmp
Tang LinHong C1032296--- Se2 Im70.bmp
Tang LinHong C1032296--- Se2 Im71.bmp
Tang LinHong C1032296--- Se2 Im72.bmp
Tang LinHong C1032296--- Se2 Im73.bmp
Tang LinHong C1032296--- Se2 Im74.bmp
Tang LinHong C1032296--- Se2 Im75.bmp
Tang LinHong C1032296--- Se2 Im76.bmp
Tang LinHong C1032296--- Se2 Im77.bmp
Tang LinHong C1032296--- Se2 Im78.bmp
Tang LinHong C1032296--- Se2 Im79.bmp
Tang LinHong C1032296--- Se2 Im80.bmp
Tang LinHong C1032296--- Se2 Im81.bmp
Tang LinHong C1032296--- Se4 Im1.bmp
Tang LinHong C1032296--- Se4 Im2.bmp
Tang LinHong C1032296--- Se4 Im3.bmp
Tang LinHong C1032296--- Se4 Im4.bmp
Tang LinHong C1032296--- Se4 Im5.bmp
Tang LinHong C1032296--- Se4 Im6.bmp
Tang LinHong C1032296--- Se4 Im7.bmp
Tang LinHong C1032296--- Se4 Im8.bmp
Tang LinHong C1032296--- Se4 Im9.bmp
Tang LinHong C1032296--- Se4 Im10.bmp
Tang LinHong C1032296--- Se4 Im11.bmp
Tang LinHong C1032296--- Se4 Im12.bmp
Tang LinHong C1032296--- Se4 Im13.bmp
Tang LinHong C1032296--- Se4 Im14.bmp
Tang LinHong C1032296--- Se4 Im15.bmp
Tang LinHong C1032296--- Se4 Im16.bmp
Tang LinHong C1032296--- Se4 Im17.bmp
Tang LinHong C1032296--- Se4 Im18.bmp
Tang LinHong C1032296--- Se4 Im19.bmp
Tang LinHong C1032296--- Se4 Im20.bmp
Tang LinHong C1032296--- Se4 Im21.bmp
Tang LinHong C1032296--- Se4 Im22.bmp
Tang LinHong C1032296--- Se4 Im23.bmp
Tang LinHong C1032296--- Se4 Im24.bmp
Tang LinHong C1032296--- Se4 Im25.bmp
Tang LinHong C1032296--- Se4 Im26.bmp
Tang LinHong C1032296--- Se4 Im27.bmp
Tang LinHong C1032296--- Se4 Im28.bmp
Tang LinHong C1032296--- Se4 Im29.bmp
Tang LinHong C1032296--- Se4 Im30.bmp
Tang LinHong C1032296--- Se4 Im31.bmp
Tang LinHong C1032296--- Se4 Im32.bmp
Tang LinHong C1032296--- Se4 Im33.bmp
Tang LinHong C1032296--- Se4 Im34.bmp
Tang LinHong C1032296--- Se4 Im35.bmp
Tang LinHong C1032296--- Se4 Im36.bmp
Tang LinHong C1032296--- Se4 Im37.bmp
Tang LinHong C1032296--- Se4 Im38.bmp
Tang LinHong C1032296--- Se4 Im39.bmp
Tang LinHong C1032296--- Se4 Im40.bmp
Tang LinHong C1032296--- Se4 Im41.bmp
Tang LinHong C1032296--- Se4 Im42.bmp
Tang LinHong C1032296--- Se4 Im43.bmp
Tang LinHong C1032296--- Se4 Im44.bmp
Tang LinHong C1032296--- Se4 Im45.bmp
Tang LinHong C1032296--- Se4 Im46.bmp
Tang LinHong C1032296--- Se4 Im47.bmp
Tang LinHong C1032296--- Se4 Im48.bmp
Tang LinHong C1032296--- Se4 Im49.bmp
Tang LinHong C1032296--- Se4 Im50.bmp
Tang LinHong C1032296--- Se4 Im51.bmp
Tang LinHong C1032296--- Se4 Im52.bmp
Tang LinHong C1032296--- Se4 Im53.bmp
Tang LinHong C1032296--- Se4 Im54.bmp
Tang LinHong C1032296--- Se4 Im55.bmp
Tang LinHong C1032296--- Se4 Im56.bmp
Tang LinHong C1032296--- Se4 Im57.bmp
Tang LinHong C1032296--- Se4 Im58.bmp
Tang LinHong C1032296--- Se4 Im59.bmp
Tang LinHong C1032296--- Se4 Im60.bmp
Tang LinHong C1032296--- Se4 Im61.bmp
Tang LinHong C1032296--- Se4 Im62.bmp
Tang LinHong C1032296--- Se4 Im63.bmp
Tang LinHong C1032296--- Se4 Im64.bmp
Tang LinHong C1032296--- Se4 Im65.bmp
Tang LinHong C1032296--- Se4 Im66.bmp
Tang LinHong C1032296--- Se4 Im67.bmp
Tang LinHong C1032296--- Se4 Im68.bmp
Tang LinHong C1032296--- Se4 Im69.bmp
Tang LinHong C1032296--- Se4 Im70.bmp
Tang LinHong C1032296--- Se4 Im71.bmp
Tang LinHong C1032296--- Se4 Im72.bmp
Tang LinHong C1032296--- Se4 Im73.bmp
Tang LinHong C1032296--- Se4 Im74.bmp
Tang LinHong C1032296--- Se4 Im75.bmp
Tang LinHong C1032296--- Se4 Im76.bmp
Tang LinHong C1032296--- Se4 Im77.bmp
Tang LinHong C1032296--- Se4 Im78.bmp
Tang LinHong C1032296--- Se4 Im79.bmp
Tang LinHong C1032296--- Se4 Im80.bmp
Tang LinHong C1032296--- Se4 Im81.bmp
Tang LinHong C1032296--- Se5 Im1.bmp
Tang LinHong C1032296--- Se5 Im2.bmp
Tang LinHong C1032296--- Se5 Im3.bmp
Tang LinHong C1032296--- Se5 Im4.bmp
Tang LinHong C1032296--- Se5 Im5.bmp
Tang LinHong C1032296--- Se5 Im6.bmp
Tang LinHong C1032296--- Se5 Im7.bmp
Tang LinHong C1032296--- Se5 Im8.bmp
Tang LinHong C1032296--- Se5 Im9.bmp
Tang LinHong C1032296--- Se5 Im10.bmp
Tang LinHong C1032296--- Se5 Im11.bmp
Tang LinHong C1032296--- Se5 Im12.bmp
Tang LinHong C1032296--- Se5 Im13.bmp
Tang LinHong C1032296--- Se5 Im14.bmp
Tang LinHong C1032296--- Se5 Im15.bmp
Tang LinHong C1032296--- Se5 Im16.bmp
Tang LinHong C1032296--- Se5 Im17.bmp
Tang LinHong C1032296--- Se5 Im18.bmp
Tang LinHong C1032296--- Se5 Im19.bmp
Tang LinHong C1032296--- Se5 Im20.bmp
Tang LinHong C1032296--- Se5 Im21.bmp
Tang LinHong C1032296--- Se5 Im22.bmp
Tang LinHong C1032296--- Se5 Im23.bmp
Tang LinHong C1032296--- Se5 Im24.bmp
Tang LinHong C1032296--- Se5 Im25.bmp
Tang LinHong C1032296--- Se5 Im26.bmp
Tang LinHong C1032296--- Se5 Im27.bmp
Tang LinHong C1032296--- Se5 Im28.bmp
Tang LinHong C1032296--- Se5 Im29.bmp
Tang LinHong C1032296--- Se5 Im30.bmp
Tang LinHong C1032296--- Se5 Im31.bmp
Tang LinHong C1032296--- Se5 Im32.bmp
Tang LinHong C1032296--- Se5 Im33.bmp
Tang LinHong C1032296--- Se5 Im34.bmp
Tang LinHong C1032296--- Se5 Im35.bmp
Tang LinHong C1032296--- Se5 Im36.bmp
Tang LinHong C1032296--- Se5 Im37.bmp
Tang LinHong C1032296--- Se5 Im38.bmp
Tang LinHong C1032296--- Se5 Im39.bmp
Tang LinHong C1032296--- Se5 Im40.bmp
Tang LinHong C1032296--- Se5 Im41.bmp
Tang LinHong C1032296--- Se5 Im42.bmp
Tang LinHong C1032296--- Se5 Im43.bmp
Tang LinHong C1032296--- Se5 Im44.bmp
Tang LinHong C1032296--- Se5 Im45.bmp
Tang LinHong C1032296--- Se5 Im46.bmp
Tang LinHong C1032296--- Se5 Im47.bmp
Tang LinHong C1032296--- Se5 Im48.bmp
Tang LinHong C1032296--- Se5 Im49.bmp
Tang LinHong C1032296--- Se5 Im50.bmp
Tang LinHong C1032296--- Se5 Im51.bmp
Tang LinHong C1032296--- Se5 Im52.bmp
Tang LinHong C1032296--- Se5 Im53.bmp
Tang LinHong C1032296--- Se5 Im54.bmp
Tang LinHong C1032296--- Se5 Im55.bmp
Tang LinHong C1032296--- Se5 Im56.bmp
Tang LinHong C1032296--- Se5 Im57.bmp
Tang LinHong C1032296--- Se5 Im58.bmp
Tang LinHong C1032296--- Se5 Im59.bmp
Tang LinHong C1032296--- Se5 Im60.bmp
Tang LinHong C1032296--- Se5 Im61.bmp
Tang LinHong C1032296--- Se5 Im62.bmp
Tang LinHong C1032296--- Se5 Im63.bmp
Tang LinHong C1032296--- Se5 Im64.bmp
Tang LinHong C1032296--- Se5 Im65.bmp
Tang LinHong C1032296--- Se5 Im66.bmp
Tang LinHong C1032296--- Se5 Im67.bmp
Tang LinHong C1032296--- Se5 Im68.bmp
Tang LinHong C1032296--- Se5 Im69.bmp
Tang LinHong C1032296--- Se5 Im70.bmp
Tang LinHong C1032296--- Se5 Im71.bmp
Tang LinHong C1032296--- Se5 Im72.bmp
Tang LinHong C1032296--- Se5 Im73.bmp
Tang LinHong C1032296--- Se5 Im74.bmp
Tang LinHong C1032296--- Se5 Im75.bmp
Tang LinHong C1032296--- Se5 Im76.bmp
Tang LinHong C1032296--- Se5 Im77.bmp
Tang LinHong C1032296--- Se5 Im78.bmp
Tang LinHong C1032296--- Se5 Im79.bmp
Tang LinHong C1032296--- Se5 Im80.bmp
Tang LinHong C1032296--- Se5 Im81.bmp
Tang LinHong C1032296--- Se6 Im1.bmp
Tang LinHong C1032296--- Se6 Im2.bmp
Tang LinHong C1032296--- Se6 Im3.bmp
Tang LinHong C1032296--- Se6 Im4.bmp
Tang LinHong C1032296--- Se6 Im5.bmp
Tang LinHong C1032296--- Se6 Im6.bmp
Tang LinHong C1032296--- Se6 Im7.bmp
Tang LinHong C1032296--- Se6 Im8.bmp
Tang LinHong C1032296--- Se6 Im9.bmp
Tang LinHong C1032296--- Se6 Im10.bmp
Tang LinHong C1032296--- Se6 Im11.bmp
Tang LinHong C1032296--- Se6 Im12.bmp
Tang LinHong C1032296--- Se6 Im13.bmp
Tang LinHong C1032296--- Se6 Im14.bmp
Tang LinHong C1032296--- Se6 Im15.bmp
Tang LinHong C1032296--- Se6 Im16.bmp
Tang LinHong C1032296--- Se6 Im17.bmp
Tang LinHong C1032296--- Se6 Im18.bmp
Tang LinHong C1032296--- Se6 Im19.bmp
Tang LinHong C1032296--- Se6 Im20.bmp
Tang LinHong C1032296--- Se6 Im21.bmp
Tang LinHong C1032296--- Se6 Im22.bmp
Tang LinHong C1032296--- Se6 Im23.bmp
Tang LinHong C1032296--- Se6 Im24.bmp
Tang LinHong C1032296--- Se6 Im25.bmp
Tang LinHong C1032296--- Se6 Im26.bmp
Tang LinHong C1032296--- Se6 Im27.bmp
Tang LinHong C1032296--- Se6 Im28.bmp
Tang LinHong C1032296--- Se6 Im29.bmp
Tang LinHong C1032296--- Se6 Im30.bmp
Tang LinHong C1032296--- Se6 Im31.bmp
Tang LinHong C1032296--- Se6 Im32.bmp
Tang LinHong C1032296--- Se6 Im33.bmp
Tang LinHong C1032296--- Se6 Im34.bmp
Tang LinHong C1032296--- Se6 Im35.bmp
Tang LinHong C1032296--- Se6 Im36.bmp
Tang LinHong C1032296--- Se6 Im37.bmp
Tang LinHong C1032296--- Se6 Im38.bmp
Tang LinHong C1032296--- Se6 Im39.bmp
Tang LinHong C1032296--- Se6 Im40.bmp
Tang LinHong C1032296--- Se6 Im41.bmp
Tang LinHong C1032296--- Se6 Im42.bmp
Tang LinHong C1032296--- Se6 Im43.bmp
Tang LinHong C1032296--- Se6 Im44.bmp
Tang LinHong C1032296--- Se6 Im45.bmp
Tang LinHong C1032296--- Se6 Im46.bmp
Tang LinHong C1032296--- Se6 Im47.bmp
Tang LinHong C1032296--- Se6 Im48.bmp
Tang LinHong C1032296--- Se6 Im49.bmp
Tang LinHong C1032296--- Se6 Im50.bmp
Tang LinHong C1032296--- Se6 Im51.bmp
Tang LinHong C1032296--- Se6 Im52.bmp
Tang LinHong C1032296--- Se6 Im53.bmp
Tang LinHong C1032296--- Se6 Im54.bmp
Tang LinHong C1032296--- Se6 Im55.bmp
Tang LinHong C1032296--- Se6 Im56.bmp
Tang LinHong C1032296--- Se6 Im57.bmp
Tang LinHong C1032296--- Se6 Im58.bmp
Tang LinHong C1032296--- Se6 Im59.bmp
Tang LinHong C1032296--- Se6 Im60.bmp
Tang LinHong C1032296--- Se6 Im61.bmp
Tang LinHong C1032296--- Se6 Im62.bmp
Tang LinHong C1032296--- Se6 Im63.bmp
Tang LinHong C1032296--- Se6 Im64.bmp
Tang LinHong C1032296--- Se6 Im65.bmp
Tang LinHong C1032296--- Se6 Im66.bmp
Tang LinHong C1032296--- Se6 Im67.bmp
Tang LinHong C1032296--- Se6 Im68.bmp
Tang LinHong C1032296--- Se6 Im69.bmp
Tang LinHong C1032296--- Se6 Im70.bmp
Tang LinHong C1032296--- Se6 Im71.bmp
Tang LinHong C1032296--- Se6 Im72.bmp
Tang LinHong C1032296--- Se6 Im73.bmp
Tang LinHong C1032296--- Se6 Im74.bmp
Tang LinHong C1032296--- Se6 Im75.bmp
Tang LinHong C1032296--- Se6 Im76.bmp
Tang LinHong C1032296--- Se6 Im77.bmp
Tang LinHong C1032296--- Se6 Im78.bmp
Tang LinHong C1032296--- Se6 Im79.bmp
Tang LinHong C1032296--- Se6 Im80.bmp
Tang LinHong C1032296--- Se6 Im81.bmp
Tang LinHong C1032296--- Se10 Im1.bmp
Tang LinHong C1032296--- Se10 Im2.bmp
Tang LinHong C1032296--- Se10 Im3.bmp
Tang LinHong C1032296--- Se10 Im4.bmp
Tang LinHong C1032296--- Se10 Im5.bmp
Tang LinHong C1032296--- Se10 Im6.bmp
Tang LinHong C1032296--- Se10 Im7.bmp
Tang LinHong C1032296--- Se10 Im8.bmp
Tang LinHong C1032296--- Se10 Im9.bmp
Tang LinHong C1032296--- Se10 Im10.bmp
Tang LinHong C1032296--- Se10 Im11.bmp
Tang LinHong C1032296--- Se10 Im12.bmp
Tang LinHong C1032296--- Se10 Im13.bmp
Tang LinHong C1032296--- Se10 Im14.bmp
Tang LinHong C1032296--- Se10 Im15.bmp
Tang LinHong C1032296--- Se10 Im16.bmp
Tang LinHong C1032296--- Se10 Im17.bmp
Tang LinHong C1032296--- Se10 Im18.bmp
Tang LinHong C1032296--- Se10 Im19.bmp
Tang LinHong C1032296--- Se10 Im20.bmp
Tang LinHong C1032296--- Se10 Im21.bmp
Tang LinHong C1032296--- Se10 Im22.bmp
Tang LinHong C1032296--- Se10 Im23.bmp
Tang LinHong C1032296--- Se10 Im24.bmp
Tang LinHong C1032296--- Se10 Im25.bmp
Tang LinHong C1032296--- Se10 Im26.bmp
Tang LinHong C1032296--- Se10 Im27.bmp
Tang LinHong C1032296--- Se10 Im28.bmp
Tang LinHong C1032296--- Se10 Im29.bmp
Tang LinHong C1032296--- Se10 Im30.bmp
Tang LinHong C1032296--- Se10 Im31.bmp
Tang LinHong C1032296--- Se10 Im32.bmp
Tang LinHong C1032296--- Se10 Im33.bmp
Tang LinHong C1032296--- Se10 Im34.bmp
Tang LinHong C1032296--- Se10 Im35.bmp
Tang LinHong C1032296--- Se10 Im36.bmp
Tang LinHong C1032296--- Se10 Im37.bmp
Tang LinHong C1032296--- Se10 Im38.bmp
Tang LinHong C1032296--- Se10 Im39.bmp
Tang LinHong C1032296--- Se10 Im40.bmp
Tang LinHong C1032296--- Se10 Im41.bmp
Tang LinHong C1032296--- Se10 Im42.bmp
Tang LinHong C1032296--- Se10 Im43.bmp
Tang LinHong C1032296--- Se10 Im44.bmp
Tang LinHong C1032296--- Se10 Im45.bmp
Tang LinHong C1032296--- Se10 Im46.bmp
Tang LinHong C1032296--- Se10 Im47.bmp
Tang LinHong C1032296--- Se10 Im48.bmp
Tang LinHong C1032296--- Se10 Im49.bmp
Tang LinHong C1032296--- Se10 Im50.bmp
Tang LinHong C1032296--- Se10 Im51.bmp
Tang LinHong C1032296--- Se10 Im52.bmp
Tang LinHong C1032296--- Se10 Im53.bmp
Tang LinHong C1032296--- Se10 Im54.bmp
Tang LinHong C1032296--- Se10 Im55.bmp
Tang LinHong C1032296--- Se10 Im56.bmp
Tang LinHong C1032296--- Se10 Im57.bmp
Tang LinHong C1032296--- Se10 Im58.bmp
Tang LinHong C1032296--- Se10 Im59.bmp
Tang LinHong C1032296--- Se10 Im60.bmp
Tang LinHong C1032296--- Se10 Im61.bmp
Tang LinHong C1032296--- Se10 Im62.bmp
Tang LinHong C1032296--- Se10 Im63.bmp
Tang LinHong C1032296--- Se10 Im64.bmp
Tang LinHong C1032296--- Se10 Im65.bmp
Tang LinHong C1032296--- Se10 Im66.bmp
Tang LinHong C1032296--- Se10 Im67.bmp
Tang LinHong C1032296--- Se10 Im68.bmp
Tang LinHong C1032296--- Se10 Im69.bmp
Tang LinHong C1032296--- Se10 Im70.bmp
Tang LinHong C1032296--- Se10 Im71.bmp
Tang LinHong C1032296--- Se10 Im72.bmp
Tang LinHong C1032296--- Se10 Im73.bmp
Tang LinHong C1032296--- Se10 Im74.bmp
Tang LinHong C1032296--- Se10 Im75.bmp
Tang LinHong C1032296--- Se10 Im76.bmp
Tang LinHong C1032296--- Se10 Im77.bmp
Tang LinHong C1032296--- Se10 Im78.bmp
Tang LinHong C1032296--- Se10 Im79.bmp

病例简介.doc

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