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病历摘要 刘某,男,52岁,农民。因纳差、腹胀4个月,发热、腹痛1月余,黑便20天,于1983年12月14日入院。同年8月感上腹不适,纳减,乏力,仍能坚持体力劳动。11月中旬出现不规则发热,下午为著,伴有夜间盗汗,全身关节酸痛,轻咳。院外诊为“重型感冒”,服中西药后上述症状减轻。数天后体温再度升高,且出现上腹持续性隐痛,阵发性加剧,向下腹部放射。痛与饮食无明显关系,1～2h后自行缓解。间有嗳气、反酸。此后,出现黑便,2～3/d,量少,成形。感
Medical record summary Liu, male, 52 years old, farmer. Due to anorexia, bloating 4 months, fever, abdominal pain more than 1 month, black stool 20 days, on December 14, 1983 admission. The same year in August a sense of upper abdomen, satisfied, fatigue, still insist on manual labor. In mid-November there was irregular fever, afternoon, accompanied by night sweats, sore joints, light cough. Out-patient clinic as a “heavy cold”, after serving Chinese and Western medicine to reduce the above symptoms. After a few days the body temperature rose again, and the persistent upper abdominal pain, paroxysmal increased radiation to the lower abdomen. No significant relationship between pain and diet, 1 ~ 2h relieve itself. Between the gas, acid reflux. Since then, black stools, 2 ~ 3 / d, the amount of less, forming. sense