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例1:患者女性,56岁,高邑县农民,住院号A-0069640。因恶心、呕吐、乏力25天,口渴4天,发热1天子1984年2月29日入院。入院前25天进食后上腹部不适、恶心、呕吐、渐进性乏力;入院前4天口渴多饮,无力加重,卧床不起,恶心、呕吐频繁;发热1天(38.3℃)。门诊以“脱水、电解质紊乱”收入院。查体:体温36.8℃、脉搏102次,呼吸20次,血压118/80mmHg。被动体位,皮肤干躁,弹性差,眼窝凹陷;心肺正常,腹凹陷,肝脾未触及。白细胞11,400,尿常规:蛋白(±),红细胞0-8/HP,多数
Example 1: Female patient, 56 years old, Gaoyi County farmer, hospital number A-0069640. Due to nausea, vomiting, fatigue 25 days, thirst for 4 days, fever 1 son February 29, 1984 admission. Admitted to the hospital 25 days before eating the upper abdomen discomfort, nausea, vomiting, progressive weakness; 4 days before admission thirsty and more drink, unable to aggravate, bedridden, nausea, vomiting frequent; fever 1 day (38.3 ℃). Out-patient to “dehydration, electrolyte imbalance” income homes. Physical examination: body temperature 36.8 ℃, pulse 102 times, breathing 20 times, blood pressure 118 / 80mmHg. Passive body position, dry skin, poor elasticity, eye socket depression; normal heart and lungs, abdominal depression, liver and spleen not touched. White blood cells 11,400, urine: protein (±), red blood cells 0-8 / HP, the majority