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病例摘要患者吴某,女性,21岁,安徽霍邱,病案号14997.因上腹部隐痛,恶心、呕吐30天于1982年4月26日入院.起病时上腹部隐痛,纳差,恶心呕吐,腹胀,口干,全身软弱无力,周身肌肉酸痛,以颈肌明显.时有头昏,心悸.尿量多,无尿频、尿急、尿痛.既往无肝病、紧盂肾炎、糖尿病史.家族中母亲“类似病史”于去年病故.入院体检:体温36.6℃,脉搏92次/分,血压100/70.发育正常,营养差,神志清,脱水貌,颈肌压痛明显.心肺(-).
Case Summary Wu, female, 21 years old, Huoqiu, Anhui case number 14997. Due to the upper abdomen pain, nausea, vomiting 30 days admitted on April 26, 1982. Onset when the upper abdominal pain, anorexia, nausea and vomiting , Abdominal distension, dry mouth, body weakness, whole body muscle soreness, obvious to the neck muscle. Sometimes dizziness, palpitations. Urine output, urinary frequency, urinary urgency, dysuria. Past no liver disease, pyelonephritis, history of diabetes. The family’s mother, “a similar medical history,” died in the last year.Patiental examination: body temperature 36.6 ℃, pulse 92 beats / min, blood pressure 100/70 .Development normal, poor nutrition, clear consciousness, dehydration appearance, .