论文部分内容阅读
病历摘要 患者胡某,男,24岁,工人。因发热、腹痛、腹泻两个月,便血10多天于1980年1月23日入院。患者于两个月前间有右下腹阵痛并有腹泻,每日大便2～3次,黄稀,无脓血粘液,不治自愈。于1979年11月下旬始有发热,四肢大关节游走性疼痛,无红肿,经当地医院治疗缓解。12月下旬上述症状加重而入县医院,当时体温39℃,心肺(一),腹平软,肝肋下1.5cm,脾(一)。血象:血红蛋白10g,红细胞341万,白细胞19,400,中性78％。疑为风湿热,给予抗
Medical history patients Humou, male, 24 years old, workers. Due to fever, abdominal pain, diarrhea two months, more than 10 days of blood in the stool January 23, 1980 admission. Patients with right lower quadrant pain and diarrhea two months ago, daily stool 2 to 3 times, yellowish, no pus blood mucus, healed. In late November 1979, there were fever, migratory limb pain, no swelling, relieved by the local hospital. In late December, the above symptoms worsened into the county hospital when the body temperature was 39 ℃, heart and lung (a), abdominal soft, liver ribs 1.5cm, spleen (a). Blood: hemoglobin 10g, red blood cells 3410000, white blood cells 19,400, 78% neutral. Suspected rheumatic fever, given resistance