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1病历摘要男,86岁。因反复咳嗽、咳痰3 a,加重伴发热3 d于2009-09-09入院。入院查体:T 38.3℃,P 90次/min,R 22次/min,BP130/80 mm Hg。卧床,右下肺可闻及少量细湿口罗音,左肺呼吸音低;HR 90/min,律不齐,未闻及异常心音及杂音;腹平软,无压痛。入院后查血:WBC 13.86×109/L,N 0.
1 medical record male, 86 years old. Due to repeated cough, sputum 3 a, increased with fever 3 d in 2009-09-09 admission. Admission examination: T 38.3 ℃, P 90 beats / min, R 22 beats / min, BP130 / 80 mm Hg. Bed, lower right lung can smell a small amount of fine wet mouth rales, left lung breath sounds low; HR 90 / min, irregular, no smell and abnormal heart sounds and murmur; abdominal soft, no tenderness. Check blood after admission: WBC 13.86 × 109 / L, N 0.