论文部分内容阅读
[病史摘要]女,22岁,武汉人。腹痛、腹泻伴呕吐一周,于1977年11月17日第二次入院。现病史:患者受凉后发生呕吐,伴腹胀、腹痛、腹泻。腹泻每日达十余次,水泻为主,有洗肉水样便及白色粘液便。腹穿抽出腹水10ml,化验结果:Rivalta 试验阳性,细胞总数2720/μl。外科观察排除胃肠道穿孔而转入内科。过去史:1977年3月诊断为获得性自身免疫性溶血性贫血,当时血小板为9.9万,每日用强的松4)mg,治疗2月,缓解出院。体检:体温37.6℃,脉搏112次,血压110/80,贫血貌,巩膜无黄染。心率112次,肺清。满腹压痛,但无明显肌强直与反跳痛。肝右肋缘下1 cm,脾未触及。
[History summary] Female, 22 years old, Wuhan. Abdominal pain, diarrhea with vomiting for a week, on November 17, 1977 second admission. Current medical history: patients vomiting after the cold, with bloating, abdominal pain, diarrhea. Diarrhea up to more than 10 times a day, mainly diarrhea, wash the watery stool and white mucus will be. Abdominal aspiration 10ml aspiration, test results: Rivalta test positive, the total number of cells 2720 / μl. Surgical observation excluded gastrointestinal perforation into the internal medicine. Past history: March 1977 was diagnosed with acquired autoimmune hemolytic anemia, when the platelet was 99,000, with daily prednisone 4) mg, treatment of February, ease the discharge. Physical examination: body temperature 37.6 ℃, pulse 112 times, blood pressure 110/80, anemia, sclera no yellow dye. Heart rate 112 times, lung clear. Full of tenderness, but no obvious muscle rigidity and rebound tenderness. Right hepatic margin 1 cm, spleen not touched.