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1 病历摘要 患者,男,25岁。因顽固性恶心、呕吐伴消瘦2个月于1996年7月22日入院。2个月前因左髋骨骨折卧床后出现频繁恶心、呕吐,呈非喷射性呕吐,每日呕吐约10次,呕吐物为胃内容,呕吐与进食、变换体位无关,伴有食欲明显减退,体重减轻约20kg,继而出现周身乏力、消瘦、四肢肌萎缩,但无呕血、黑便,无呕吐宿食,无腹痛、胀泻,无心悸、盗汗,无烦渴、多饮,近1个月出现低热,呈持续性,体温波动于37.5℃～38.5℃,无盗汗、咳嗽、咯痰,曾在当地医院输液治疗(具体不详),症状无缓解,而来我院求治。既往体健。入院时查体:T37.5℃,P40次/分,R20次/分,BP18/11kP_a消瘦,贫血貌,全身浅表淋巴结无异常肿大,巩膜无黄染,无眼球震颤。两侧瞳孔正大
1 patient summary of patients, male, 25 years old. Due to intractable nausea, vomiting with weight loss 2 months in July 22, 1996 admission. 2 months ago due to left hip fracture after bed discomfort and frequent vomiting, vomiting, daily vomiting about 10 times, vomit stomach content, vomiting and eating, changing position has nothing to do with appetite was significantly reduced, Weight loss about 20kg, followed by whole body fatigue, weight loss, limb muscle atrophy, but no hematemesis, melena, no vomiting, no abdominal pain, bloating diarrhea, no heart palpitations, night sweats, no thirst, polydipsia, nearly 1 month Appeared low fever, was persistent, body temperature fluctuations at 37.5 ℃ ~ 38.5 ℃, no night sweats, cough, expectoration, had a local hospital infusion treatment (specific unknown), no symptoms, and came to our hospital for treatment. Past physical health. Admission examination: T37.5 ℃, P40 beats / min, R20 beats / min, BP18 / 11kP_a emaciation, anemia, systemic superficial lymph nodes no abnormal enlargement, scleral no yellow dye, no nystagmus. Pupil on both sides of Zhengda