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患者男39岁汉族住院号2703,拖拉机手,四川人。因右季肋部疼痛、发烧10天于1977年7月16日住院。1976年5—9月间曾有间断腹泻、脓血样大便,经用四环素、痢特灵治疗好转。入院查体:体温38℃,消瘦,巩膜微黄,心肺正常。肝上界锁骨中线第五助间,下界肋缘下刚触及,有触痛和叩痛。白细胞8500,中性80%,淋巴19%,单核1%。尿胆元1:20阳性。AFP~(-)。入院诊断:病毒性肝炎(急性黄疸型。住院经过:入院后按黄疸型肝炎治疗,一周后体温降至正常,黄疸消退,右季肋部疼痛
Patients Male 39-year-old Han hospital number 2703, tractor hand, Sichuan people. Due to right quarter rib pain, fever 10 days in July 16, 1977 hospitalization. Between May and September 1976, there was intermittent diarrhea, purulent blood stool, and tetracycline, furazolidone treatment improved. Admission examination: body temperature 38 ℃, weight loss, scleral yellow, normal heart and lung. The middle of the hepatic supraclavicular midline fifth assistant, under the border just touched under the ribs, tenderness and percussion pain. White blood cells 8500, 80% neutral, lymph 19%, mononuclear 1%. Urine bile 1: 20 positive. AFP ~ (-). Admission diagnosis: viral hepatitis (acute jaundice.) Hospitalized: jaundice hepatitis treated after admission, one week after the temperature dropped to normal, jaundice subsided, right quarter rib pain