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患者男性 ,37岁。因持续发热 5天 ,伴右上腹痛 2天 ,于 1998年 12月 13日入院。患者平素体健 ,无传染病接触史。入院体检 :体温 40 1℃ ,急性热病容 ,精神萎靡 ,眼结膜无充血 ,全身皮肤未见出血点及皮疹 ,浅表淋巴结不大 ,咽充血 ,肺呼吸音清 ,心律 10 2 /ｍｉｎ ,律齐 ,心音
Male patient, 37 years old. Due to persistent fever for 5 days, with right upper quadrant pain for 2 days, on December 13, 1998 admission. Patients usually healthy body, no contact history of infectious diseases. Admission examination: body temperature 40 1 ℃, acute fever, apathetic, conjunctival hyperemia, no bleeding and rash on the skin, superficial lymph nodes, pharyngeal hyperemia, pulmonary breath sounds, heart rate 102 / min, law Qi, heart sound