病历摘要见第1期47页。临床讨论住院医生甲:本例具有以下临床特点:①女性,32岁,急性起病,病势呈进行性发展。②以高热、头痛、眼刺痛、腰痛伴尿频、尿急及排无痛性黄色水样便性腹泻为主要症状,病后月经增多。③体检:肝区轻度叩痛,胆囊区轻度压痛,脾肋下仅触及。④实 The medical record is summarized in the first issue of 47 pages. Clinical discussion Residency A: This case has the following clinical features: ① Female, 32 years old, acute onset, progressive development of the disease. ② high fever, headache, eye irritation, low back pain with frequent urination, urgency and row of painless yellow water-like diarrhea as the main symptom, increased menstruation after the disease. Physical examination: mild percussion pain in the liver area, mild tenderness in the gallbladder area, only touching the spleen and ribs. ④ real