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患者:安凤兰女姓 36岁陕西临潼人家妇住院号13102 58年10月13日入院主诉:尿少全身浮肿50余天现病史:两个月前未明诱因,发现下腹部及腰部呈持续地钝痛,食欲欠佳,时有粘液之便件有下坠日2—3次,五十多天前发现脸部浮肿,随后波及面部及四肢,晨起减轻,并感恶心欲吐,头晕心跳眼花,尿少色深无血,入院前十几天浮肿加重头痛无力而就诊。既往:身健,无腰痛尿少尿混浮肿等症。否认结核病史。月经周期准,姙五次产五胎,于一年前阴道有不规则出血,经军大诊为“宫颈癌”以镭锭照射止血。查体:T.36℃ P.80次/分 R.18次/分 Bp.190/110mmHg
Patients: An Fenglan female surname 36-year-old Lintong, Shaanxi Province, women and inpatient homes No. 13102 October 13, 58 Admission to hospital: less urine less than 50 days of edema body history: two months ago, there was no incentive and found lower abdomen and lower waist continued to be blunt Pain, poor appetite, mucus when there is falling 2-3 days, more than 50 days ago found that the face edema, and later spread to the face and limbs, early morning to reduce and feel nausea, dizziness, dizziness, Less urine dark urine, less than ten days before admission edema aggravate headache weakness and treatment. Past: good health, no back pain oliguria swollen embolism embolism. Denied the history of tuberculosis. Menstrual cycle quasi-five pregnant fetus production of five, a year ago irregular vaginal bleeding, the military clinic as a “cervical cancer” to radium irradiation to stop bleeding. Physical examination: T.36 ℃ P.80 times / min R.18 times / min Bp.190 / 110mmHg