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病历摘要男性,23岁。因呕吐、腹泻、少尿伴黄疸3天于1990年9月11日入院。入院前3天曾进食自采蘑菇等,餐后约6小时出现恶心、呕吐,随即出现腹痛、腹泻、腰痛、少尿,次日皮肤巩膜黄染。在当地医院按急性胃肠炎治疗无改善。查体:T36,P100,R24,Bp19/12。嗜睡,贫血貌。全身皮肤重度黄染,颜面及双下肢中度浮肿,未见皮疹及出血点。浅表淋巴结无肿大。胸骨无压痛。心肺(-)。腹平软,上腹部压痛
Medical summary Male, 23 years old. Due to vomiting, diarrhea, oliguria with jaundice 3 days in September 11, 1990 admission. 3 days before admission, eating mushrooms since eating, about 6 hours postprandial nausea and vomiting, abdominal pain, diarrhea, low back pain, oliguria, yellow sclera on the next day. In the local hospital according to the treatment of acute gastroenteritis no improvement. Physical examination: T36, P100, R24, Bp19 / 12. Lethargy, anemia appearance. Severe yellowish body skin, face and lower extremity moderate edema, no rash and bleeding points. Superficial lymph nodes without swelling. Sternal no tenderness. Cardiopulmonary (-). Abdomen soft, tenderness on the abdomen