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病历摘要 患者已婚,男性,56岁,山东籍,干部。因上腹隐痛、腹泻6天,畏寒、发热3天,头晕、心慌、大汗淋漓6小时,于1981年2月1日0时入院。缘于1981年1月25日无明显诱因感上腹部隐痛,解黄色稀便(1天2~3次),服黄连素、胃舒平后有好转。1月29日下午有畏寒,全身不适,体温38℃,单位卫生所给予维生素C及扑热息痛0.5g(1天3次)。至1月31日17时患者头晕,心慌,出大汗并有恶心,继而吐出咖啡色液体数口,18时测血压为0,经抢救无效,于20时20分送我院急诊室。检查:血压0;血红蛋白15.6g/dl,白细胞15,600,中性90%,淋巴
Medical record Summary Married, male, 56 years old, Shandong nationality, cadre. Due to abdominal pain, diarrhea 6 days, chills, fever 3 days, dizziness, palpitation, sweating dripping 6 hours, at 0:00 on February 1, 1981 admitted. Due to January 25, 1981 no obvious incentive to feel abdominal pain, relieve yellow loose stools (1 day 2 to 3 times), serving berberine, stomach Shuping after a turn for the better. January 29 afternoon chills, malaise, body temperature 38 ℃, the unit health clinics give vitamin C and paracetamol 0.5g (1 day 3 times). At 17 o’clock on the January 31, patients dizzy, flustered, out of sweat and nausea, and then spit out the number of brown liquid mouth, blood pressure was measured at 0:00 0, after rescue invalid, at 20:20 to our emergency room. Check: blood pressure 0; hemoglobin 15.6g / dl, white blood cells 15,600, 90% neutral, lymph