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病历摘要陈××,男,47岁,农民。于1983年4月15日9时入院。病人于入院前10天因咽痛、厌食、咳嗽及乏力住当地某医院,拟诊为“咽喉炎”、“钩虫病贫血”,经治疗无明显好转而自动出院。本次入院前2天,病人咽痛、吞咽不适、声音嘶哑、恶心、呕吐及食欲明显减退,于入院前1天感呼吸困难,烦躁不安,有时无意识动作及少尿(当天尿量仅400毫升左
Medical record Chen × ×, male, 47 years old, farmer. At 15:00 on April 15, 1983 admission. The patient was admitted to a local hospital for sore throat, anorexia, coughing and fatigue 10 days before admission, and was diagnosed as “pharyngitis” and “hookworm anemia”. The patients were discharged without any obvious improvement. Two days prior to admission, patients had sore throat, swallowing discomfort, hoarseness, nausea, vomiting and loss of appetite. They experienced dyspnea, irritability and sometimes unconsciousness and oliguria one day before admission (only 400 ml left