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患者女性,70岁,住院号57910。因右季肋部针刺样疼痛伴发烧20天,抗炎治疗效果不佳,入院。查体体温39℃,重病容,衰竭明显。右季肋部轻度水肿,6至8肋间明显压痛、叩击痛。肝大,下缘在锁骨中线肋下4cm,中等硬,明显触痛。脾未触及。化验白血球总数78,000/mm~3,有中毒颗粒,N93%。碱性磷酸酶9.3U。胎甲球阴性。肝功能正常。总蛋白7.5g%,白蛋白3.0g%,球蛋白
Patient female, 70 years old, hospital number 57910. Due to the right quarter rib acupuncture pain with fever for 20 days, anti-inflammatory treatment ineffective, admission. Physical examination temperature 39 ℃, serious illness, failure significantly. The right quarter rib mild edema, 6 to 8 intercostal tenderness, percussion pain. Liver, the lower edge of the clavicle in the ribs 4cm, medium hard, obvious tenderness. Spleen not touched. The total number of laboratory white blood cells 78,000 / mm ~ 3, toxic particles, N93%. Alkaline phosphatase 9.3U. Fetal ball negative. Liver function is normal. Total protein 7.5 g%, albumin 3.0 g%, globulin