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患者游××,女,73岁,住院号4396,因咳嗽、胸痛、腹泻20余日,抽搐1日,昏迷3小时,于1983年12月12日入院.查体:T38℃,P130次/分,R41次/分, BP80-60mmHg,一般情况差,神志不清,呈昏迷状,口唇微绀,干燥,轻度脱水征,双眼向左凝视,瞳孔等大等圆,对光反射迟钝,右侧鼻唇沟变浅,口角向左歪斜.呼吸深浅不均,节律不规则,轻度吸气性呼吸困难,双肺呼吸音粗糙,可闻散在的哮鸣音,右肺
Patients swim XX, female, 73 years old, hospital number 4396, cough, chest pain, diarrhea more than 20 days, convulsions on the 1st, coma for 3 hours, admitted to hospital on December 12, 1983. Physical examination: T38 ℃, P130 times / Points, R41 beats / min, BP80-60mmHg, the general situation is poor, unconscious, was coma, lips cyanosis, dry, mild dehydration sign, eyes staring left, pupil and other large round, slow light reflex, Right nasolabial fissure shallow, diagonal left skew mouth breathing uneven, irregular rhythm, mild inspiratory difficulty breathing, rough lung breath sounds, can be heard scattered wheeze, the right lung