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例 1.男性 ,39岁。因腹泻、腹痛、发热 1d ,于 2 0 0 2 - 0 7- 2 5就诊。大便呈水样 ,有泡沫 ,无脓血。既往无药物过敏史。查体 :T 37 6℃ ,BP 110 / 70mmHg(1mmHg =0 133kPa) ,心肺无异常 ,脐周压痛明显 ,肠鸣音亢进 ,大便常规示WBC少许 ,霍乱弧菌试验 (- )。诊断 :急性肠炎
Example 1. Male, 39 years old. Due to diarrhea, abdominal pain, fever 1d, at 2000-02-025 visits. Stool was watery, foamy, abscess blood. Past history of drug allergy. Examination: T 37 6 ℃, BP 110 / 70mmHg (1mmHg = 0 133kPa), no abnormal heart and lungs, significant tenderness on the umbilical cord, hyperactive bowel sounds, routine stool showed a little WBC, Vibrio cholerae test (-). Diagnosis: acute enteritis