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例1,男,76岁。以呕吐3次、稀便一次伴发热为主诉入院。发病前曾进食螃蟹等海产品。体检:T38.6℃,R20次/分,P84次/分,BP140/60mmHg。神志清,疲倦外观。颈软。心率84次/分,不齐,心尖部可闻及Ⅱ°收缩期杂音。双肺(-)。肝脾未触及,肠鸣音减弱。双膝腱反射对称减弱,病理征阴性。入院诊断急性胃肠炎,经对症处理,病情未见好转。入
Example 1, male, 76 years old. To vomit 3 times, loose stools once with fever main admission. Before eating eaten crabs and other seafood. Physical examination: T38.6 ℃, R20 beats / min, P84 beats / min, BP140 / 60mmHg. Conscious, tired appearance. Neck soft. Heart rate 84 beats / min, missing, apex can be heard and Ⅱ ° systolic murmur. Double lung (-). Liver and spleen not touched, bowel sounds weakened. Double tendon reflex symmetry weakened, pathology sign negative. Admission diagnosis of acute gastroenteritis, symptomatic treatment, the condition did not improve. Into