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病历摘要×××(住院号203873),女,52岁,已婚,吉林省人,农业社员。1972年12月26日入院。诉右上腹痛一月余,持续性,咳嗽、深呼吸及变动体位时痛加重,放射至右肩。严重影响睡眠。自觉心里发热感,但测体温不高。恶心,无呕吐。每日进食甚少,迅速消瘦,衰弱无力。尿色深,量少,大便干,3-4天一次。过去体健,近7-8年来每年均有腹泻发作,未往意有无脓血便,服磺胺药可缓解。月经不规则,20天-1月1次,每次4-5天,量正常。妊娠8次,生产7次,5年前因患葡萄胎刮宫2次。家族史无可述。查体:体温37.3℃,脉
Medical record summary × × × (hospital number 203873), female, 52 years old, married, Jilin Province, agricultural members. December 26, 1972 admission. V. On the right upper abdominal pain for more than a month, persistent, coughing, deep breathing and changes in position when the pain worsened, radiating to the right shoulder. Seriously affect sleep. Feel a sense of fever, but the test temperature is not high. Nausea, no vomiting. Few eating daily, rapid weight loss, weakness and weakness. Dark urine, less, dry stool, 3-4 days time. Past physical health, nearly 7-8 years have an episode of diarrhea each year, did not intend to have purulent blood, serving sulfa drugs can be alleviated. Irregular menstruation, 20 days - January 1, each 4-5 days, the amount of normal. Pregnancy 8 times, production 7 times, 5 years ago suffering from hydatidiformgia curettage 2 times. Family history can not be described. Physical examination: body temperature 37.3 ℃, pulse