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男,70岁,干部。腹痛、疲倦、纳差4天,眼黄3天,伴恶心、厌油,稍觉发热及畏寒,曾无力跌倒地上。院外诊为“急性黄疸型肝炎”转我院,于1990年4月26日入院。既往史:30年前患肺结核,已治愈。体检:体温36℃,脉搏100次/分,呼吸32次/分,血压8/2.7kPa。神志清,发育营养中等,自动体位;四肢稍冷,全身皮肤中度黄染;唇色微绀,心音有力,律整,各瓣膜区无杂音;双肺底有湿性罗音,全腹均有压痛及反跳痛,以右上腹明显,肝脾肋下未触及,肝区叩击痛,莫非氏征阳性,肠鸣音消失,有移动性浊音,双膝反射减弱,未引出脑膜刺激征及病理
Male, 70 years old, cadre. Abdominal pain, tiredness, anorexia 4 days, eye yellow 3 days, with nausea, tired of the oil, feel fever and chills, had been unable to fall to the ground. Outpatient hospital as “acute jaundice hepatitis” transferred to our hospital, in April 26, 1990 admission. Past history: suffering from tuberculosis 30 years ago, has been cured. Physical examination: body temperature 36 ℃, pulse 100 beats / min, breathing 32 beats / min, blood pressure 8 / 2.7kPa. Sense of calm, the development of nutrition medium, automatic position; limbs slightly cold, moderate yellowish skin throughout the body; lip cyanosis, strong heart sound, law, the valve area without noise; Tenderness and rebound tenderness to the right upper quadrant obvious, liver and spleen ribs were not touched, the liver percussion pain, non-positive signs of the disease, bowel sounds disappear, dull mobility, knee reflex decreased, did not lead to meningeal irritation and pathology