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病历摘要 刘某,男,20岁,广西籍。1982年8月15日因慢性腹泻4个月,发热1.5个月入院。患者于1982年4月10日开始大便次数增多,每日2～3次至6～7次,多为稀便,时有粘液样物,无血便。常伴脐周或左下腹隐痛,腹痛时腹部常见包块。有腹胀,无里急后重感。6月初食欲减退。7月3日以后发热,呈弛张热型,体温37.5～40℃。逐渐消瘦。7月14日入某院,检查:皮肤无黄染或出血点,右颌下淋巴结0.5×1.0cm大小,肝脾未触及,来扪及包块。化验:血红蛋白
Medical record summary Liu, male, 20 years old, Guangxi nationality. August 15, 1982 due to chronic diarrhea 4 months, 1.5 months fever admission. Patients began April 10, 1982 increased stool frequency, 2 to 3 times a day to 6 to 7 times, mostly loose stools, sometimes mucus-like, no bloody stools. Often accompanied by umbilical or left lower abdominal pain, abdominal pain when the common mass. Have bloating, no relief after heavy feeling. Loss of appetite early in June. July 3 after fever, was heat relaxation, body temperature 37.5 ~ 40 ℃. Gradually thinner. July 14 into a hospital, check: no yellow skin or bleeding, the size of the right mandibular lymph nodes 0.5 × 1.0cm, liver and spleen not touched, to palpable mass. Laboratory: hemoglobin