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例1 李××,女性,62岁,陕西武功县农民。(住院号233324)因腹泻,食欲减退10余天,恶心呕吐8天入院。入院前20天无明确诱因自觉发热,曾用庆大霉素数天,随之又出现腹痛腹泻,并渐觉全身无力。一周后腹痛加重,恶心呕吐频繁,门诊以“急性胃肠炎”收住院。查体:T35.8℃,P60次/分,R16次/分,皮肤弹性差,眼窝凹陷。两肺正常,心率60次/分,律齐,第一心音低钝。腹凹陷,肝脾肋下未及。肠鸣弱。查WBC 12800,粪常规:白细胞1—2/HP,尿常规:蛋白极微,白
Example 1 Li × ×, female, 62 years old, farmer in Wugong County, Shaanxi Province. (Hospital number 233324) due to diarrhea, loss of appetite for more than 10 days, nausea and vomiting admitted to hospital for 8 days. 20 days before admission without a clear cause of conscious fever, gentamicin used for a few days, followed by abdominal pain and diarrhea, and gradually feel the general weakness. A week after the abdominal pain aggravated, frequent nausea and vomiting, outpatient “acute gastroenteritis” admitted to hospital. Examination: T35.8 ℃, P60 beats / min, R16 beats / min, poor skin elasticity, orbital depression. Normal lungs, heart rate 60 beats / min, law Qi, the first heart sound low blunt. Abdominal depression, liver and spleen ribs have not yet. Bowel is weak. Check WBC 12800, fecal routine: WBC 1-2 / HP, urine routine: protein minimal, white