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病历摘要患者,34岁,女,住院号10843。因脐周疼痛、发热、便血二个月于1983年5月12日入院。于1983年3月初始无何诱因出现脐周疼痛,疼痛呈阵发性,无放射性,伴有便秘,5～6天一次大便,便不结而溏,色为棕色。同时有高热,曾在某医院拟诊“上消化道出血”,“尿路感染”住院治疗,经肌注卡那霉素后,体温正常而出院。半个月后体温又上升,伴有盗汗,而来诊。既往无习惯性便秘史,否认有结核病史,也无溃疡病史。查体:T39.4℃,P120次/分,Bp94/70mm
Patient summary, 34 years old, female, hospital number 10843. Due to umbilical pain, fever, blood in the stool two months on May 12, 1983 admission. In March 1983 the initial no incentive induration of umbilical pain, paroxysmal pain, no radioactivity, accompanied by constipation, 5 to 6 days a stool, they are not knot and 溏, the color is brown. At the same time there are high fever, had been diagnosed in a hospital “upper gastrointestinal bleeding”, “urinary tract infection” hospitalized, after intramuscular injection of kanamycin, normal body temperature and discharged. Half a month after the temperature rose again, accompanied by night sweats, and visit. Past history of unconventional constipation, denied a history of tuberculosis, no history of ulcers. Physical examination: T39.4 ℃, P120 beats / min, Bp94 / 70mm