论文部分内容阅读
张××,20岁,滇籍、农民、汉。住院号80—7838。因咳嗽、胸痛、咯血三月余于1980年9月5日入院。是年6月下旬受凉后发热、头痛、咽喉痛、两眼流泪疼痛,8天后咳嗽,咯鲜红色血,每日约20—30毫升,伴胸痛,在当地用过中西药,10多天后咯血量减少,入院前一月,咳嗽加剧,间有咯血多达50—100毫升,伴低热、乏力、头昏、腰痛,饮食减退,夜尿多于白日尿,小便深黄色,有时恶心、呕吐。既往健康,从事正常农业劳动,无类似病史,未食生鱼及螃蟹等。对青霉素、去痛片有过敏史。无烟酒嗜好。体格检查:T36℃,P80次/分,24次/分,Bp100/50mmHg。发育正常,营养差,
Zhang × ×, 20 years old, Yunnan natives, peasants, Han. Hospital number 80-7838. Due to cough, chest pain, hemoptysis in March more than September 5, 1980 admission. Is the end of June the year after the cold fever, headache, sore throat, tears of pain in both eyes, cough after 8 days, slightly red blood, about 20-30 ml daily, with chest pain, used in local medicine, more than 10 days after hemoptysis Reduce the amount of January before admission, increased cough, between hemoptysis up to 50-100 ml, with fever, fatigue, dizziness, back pain, diet, nocturia more than urine, urine dark yellow, and sometimes nausea and vomiting . Past health, normal agricultural work, no similar history, raw fish and crabs and so on. Penicillin, to painkillers have a history of allergies. Non-smoking alcohol hobby. Physical examination: T36 ℃, P80 beats / min, 24 beats / min, Bp100 / 50mmHg. Normal development, poor nutrition,