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赵××,男性,49岁,农民。住院号79369。因上腹不适,食欲不振,乏力8个月,近2个月来上述症状加剧伴气急,于1979年9月29日入院。患者8个月前感上腹不适,食欲不振,易乏力。劳动后常有两肩,两臂及下肢游走性疼痛。休息后能自行缓解或消失。在当地诊为溃疡病,神经痛等病。近2个月来上述症状反复发作,逐渐不能坚持劳动。否认肝炎、肺结核、肾炎史及血吸虫病疫水接触史。家族史无殊。体检:发育尚可,营养欠佳。慢性病容,消瘦,轻度贫血貌。神志清楚,心无殊。两肺听诊;右中下呼吸音稍减低,叩诊稍浊。腹平软,
Zhao × ×, male, 49 years old, farmer. Hospital number 79369. Due to upper abdominal discomfort, loss of appetite, fatigue for 8 months, the past two months to aggravate the symptoms associated with acute, on September 29, 1979 admitted. 8 months ago, patients with upper abdominal discomfort, loss of appetite, easy to fatigue. After work, often have two shoulders, arms and legs swimming pain. After the break to ease or disappear. In the local diagnosis of ulcer disease, neuralgia and other diseases. The past two months to recurrent symptoms, gradually unable to adhere to labor. Denied the history of hepatitis, tuberculosis, nephritis and schistosomiasis exposure. Family history no special. Physical examination: development is acceptable, poor nutrition. Chronic disease, weight loss, mild anemia appearance. Consciousness, no special heart. Auscultation of both lungs; right middle and lower respiratory sounds slightly reduced, slightly turbid percussion. Abdomen soft,