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患者男性,27岁,农民。因右上腹持续性胀满不适半月,寒战高热多汗5天,于1988年6月14日入院。既往体健,否认“肝炎”,“痢疾”,“伤寒”及慢性腹泻等病史。入院检查:T40℃,P104次/分,R30次/分,BP56/40mmHg。极度衰竭病容,面色苍白,大汗淋漓,睑结合膜及口唇粘膜苍白。全身皮肤巩未见黄染皮疹及出血点。表浅淋巴结未扪及。胸部:呼吸动度不受限。右胸稍丰满,轻叩痛,无局限性压痛点;右下肺叩浊,呼吸明显减低,语颤减弱。心音弱律齐,未杂音。腹平软,右腹肌轻度肌紧张,无压痛。肝上界在锁骨中线第五肋间,
Male patient, 27 years old, farmer. Due to persistent swelling of the right upper quadrant discomfort half months, chills heat sweating 5 days, June 14, 1988 admission. Past physical health, denied “hepatitis”, “dysentery”, “typhoid fever” and chronic diarrhea and other medical history. Admission examination: T40 ℃, P104 times / min, R30 beats / min, BP56 / 40mmHg. Extreme failure disease, pale, sweating, palpebral conjunctiva and lip mucosa pale. No visible yellow skin rash and bleeding points. Superficial lymph nodes not palpable. Chest: Respiratory motility is not limited. Right chest a little plump, tap the pain, no localized tenderness point; right lower lung knock turbidity, breathing was significantly reduced, weakened tremor. Heart sound weak law Qi, no noise. Abdomen soft, mild abdominal muscle tension, no tenderness. Liver upper bound in the middle of the clavicle fifth intercostal space,