论文部分内容阅读
1病历摘要例1:以自主神经病变起病。女,54岁。因恶心、呕吐2 d就诊。近2 d来无明显诱因的恶心、呕吐,为非喷射性吐出中等量胃内容物,无咖啡色液体,无头痛及视力改变,无发冷、发热,未咳喘,亦无腹痛及腹泻。既往体健。查体:T 36.6℃,P 80次/m in,R 20次/m in,BP 13.3/9.3 kPa,神
1 medical records summary Example 1: autonomic neuropathy onset. Female, 54 years old. Due to nausea, vomiting 2 d treatment. Nearly 2 d to no obvious incentive to nausea and vomiting, non-jetting spit out a moderate amount of stomach content, no brown liquid, no headache and vision changes, no chills, fever, no cough, nor abdominal pain and diarrhea. Past physical health. Examination: T 36.6 ℃, P 80 times / m in, R 20 times / m in, BP 13.3 / 9.3 kPa, God