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患者女性,54岁,已婚,汉族,农民。患者乏力,食欲不振一个多月,近3～4天疲乏加重,眼黄,发热畏寒,上腹痛,呕吐,其他医院诊为黄疸型肝炎,门诊以黄疸待查于1971年10月18日入院治疗。过去史及个人史:2月前曾从二楼跌下,当时心窝部疼痛明显。有牙痛史。生四胎,子女均健在,爱人健康。体检:体温37.4℃(腋探),脉搏104次/分,血压100/70毫米汞柱,神志清,呈慢性病容,体质营养
Patient female, 54 years old, married, Han nationality, farmer. Patients with fatigue, loss of appetite more than a month, nearly 3 to 4 days increased fatigue, eye yellow, fever chills, abdominal pain, vomiting, other hospitals diagnosed with jaundice hepatitis, outpatient jaundice pending investigation in October 18, 1971 admission treatment. Past history and personal history: Two months ago, fell from the second floor, when the pit was painful. Have a toothache history. Born four children, children are alive, lover health. Physical examination: body temperature 37.4 ℃ (axillary exploration), pulse 104 beats / min, blood pressure 100/70 mm Hg, conscious, was chronic disease, physical nutrition