病历摘要例2:患者田××,男,25岁,战士,病案号4083,于1974年4月12日入院。患者于入院前10天开始感到周身不适,食欲减退,恶心,厌油食,近5天头昏、尿黄,近日来被别人发现巩膜发黄即来住院。检查:体温36.8℃,脉搏94次,血压130/80,发育营养中等,神志清楚,表情淡漠。巩膜黄染,周身皮肤发黄,颈部有一蜘蛛痣,手背部有一出血 Case Summary 2: Patient Tian × ×, male, 25 years old, soldier, medical record number 4083, was admitted on April 12, 1974. Patients began to feel uncomfortable 10 days before admission, loss of appetite, nausea, tired of greasy food, nearly 5 days dizziness, urine yellow, others have been found recently scleral yellow hospitalization. Check: body temperature 36.8 ℃, pulse 94 times, blood pressure 130/80, the development of nutrition medium, conscious, apathy. Scleral yellow dye, yellow skin around the body, a spider nevus neck, back of a hand bleeding