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患者男,60岁,农民,住院号2—3897。 1985年10月6日因食欲亢进、消瘦、腹泻加重20天入院,伴发热、厌食、厌油、黄疸、心悸、高度疲乏。患者10年来,有多食、消瘦,腹泻史,食欲亢进,每日食主粮1斤以上,但体重渐减,由45公斤减至30公斤。乏力,不能胜任田间劳动,大便每天3～4次,呈水样,无脓血,无腹痛。起病后未作任何检查,农场卫生所诊断为“胃肠炎”。近20天来持续解水样黄色大便,每天7～8次,伴发热38℃,胃纳差,恶心呕吐。10月4日转某医院留观。当时大便常规检查结果除少许粘液外,余无异常。血象白细胞数在正常范围内。经抗炎、补液等治疗,病情未改善,我院按“急性胃肠炎”收住院。
Patient male, 60 years old, farmer, hospital number 2-3897. October 6, 1985 due to loss of appetite, weight loss, diarrhea increased admission 20 days, with fever, anorexia, tired of oil, jaundice, palpitations, high degree of fatigue. Patients over 10 years, there is more food, weight loss, diarrhea history, appetite hyperthyroidism, daily staple food more than 1 kg, but weight loss, reduced from 45 kg to 30 kg. Fatigue, can not be competent field work, stool 3 to 4 times a day, was watery, no abscess, no abdominal pain. After the onset of any inspection, farm clinics diagnosed as “gastroenteritis.” The past 20 days continued water-like yellow stool, 7 to 8 times a day, with fever 38 ℃, poor appetite, nausea and vomiting. October 4 to a hospital stay view. At that time stool routine examination results except a little mucus, I no exception. Blood leukocytes in the normal range. After anti-inflammatory, rehydration and other treatment, the condition did not improve, our hospital according to “acute gastroenteritis” admitted to hospital.