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病历摘要杨某,男性,18岁,吉林人,社员。1979年2月9日劳动后,觉下腹疼痛,呈持续性,无放射,疼时腹部未起包块,恶心未吐。腹泻为脓血便,自觉发冷、发热。服痢特灵3次,每次4片。于次日晨小便时晕倒,出现精神异常,呼叫打人。因腹病,卫生所诊断为“蛔虫症”。上午11时至晚8时自服“驱虫净”共10片,“驱蛔灵”4片,腹痛症状未缓解,精神异常现象加重。11日晨开始呕吐咖啡色胃内容物约1,000毫升,未吐蛔虫,四肢厥冷,遂急送某医院门诊抢救。查体:体温35.5℃,脉搏130次,血压90/80。发育营养较差,精神萎靡,危重病容。皮肤、粘膜无黄染,未见出血点及瘀斑,全身表浅淋巴结未触及。巩膜无黄染,瞳孔
Medical records Yang, male, 18 years old, Jilin, members. February 9, 1979 labor, I feel abdominal pain, was persistent, non-radiation, the pain does not have the abdomen mass, nausea vomiting. Diarrhea, pus and blood, consciously cold, fever. Take Furazolidone 3 times, 4 tablets each time. She fell unconscious on the morning of the following morning and experienced mental disorders, calling and hitting people. Due to abdominal illness, the clinic diagnosed as “roundworm disease”. 11 am to 8 pm self-serving “insect repellent net ” a total of 10, “drive roundworm Ling ” 4 tablets, abdominal pain symptoms did not ease, the abnormal mental aggravate. On the morning of the 11th, about 1,000 ml of brown stomach contents were vomited. No roundworms were excreted and their limbs were cold. They were then sent to a hospital for emergency treatment. Physical examination: body temperature 35.5 ℃, pulse 130 times, blood pressure 90/80. Development of poor nutrition, apathetic, critically ill. Skin, mucous membrane without yellow dye, no bleeding spots and ecchymosis, systemic superficial lymph nodes not touched. Sclera no yellow dye, pupil